Jackson, Desirae
Jackson, Desirae is an individual health care provider with primary practice located at Va Wny Healthcare System 3495 Bailey Ave, Buffalo NY 14215-1311. She recently has only one registered license in Dental Providers / Dental Assistant, which is considered as her primary health care specialty. Jackson, Desirae can be contacted via phone (716) 862-8738.Contact Information
Primary practice address
Va Wny Healthcare System 3495 Bailey Ave
Buffalo NY 14215-1311
Phone: (716) 862-8738
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dental Assistant | 126800000X |
Profile Details
| NPI number | 1851581078 |
|---|---|
| LBN Legal business name | Jackson, Desirae |
| Credentials | Certified Dental Assistant (CDA) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 25th, 2007 |
| Last updated | Jul 25th, 2007 - about 19 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.
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