Jackson, Delores
Jackson, Delores is an sole proprietor health care provider with primary practice located at 909 Tinsley St , E Palo Alto CA 94303-2584. She recently has only one registered license in Nursing Service Related Providers / Attendant Care Provider, which is considered as her primary health care specialty. Jackson, Delores can be contacted via phone (404) 444-3407.Contact Information
Primary practice address
909 Tinsley St
E Palo Alto CA 94303-2584
Phone: (404) 444-3407
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing Service Related Providers / Attendant Care Provider | 3747A0650X | California |
Profile Details
| NPI number | 1609454842 |
|---|---|
| LBN Legal business name | Jackson, Delores |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 30th, 2021 |
| Last updated | Mar 30th, 2021 - about 5 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1609454842 | NPPES |
| California | Other | NA | NA |
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