Jackson, Dianne Regina
Jackson, Dianne Regina is an individual health care provider with primary practice located at 9601 Reistertown Rd , Owings Mills MD 21117. She recently has only one registered license in Allopathic & Osteopathic Physicians / General Practice, which is considered as her primary health care specialty. Jackson, Dianne Regina can be contacted via phone (301) 352-9763.Contact Information
Primary practice address
9601 Reistertown Rd
Owings Mills MD 21117
Phone: (301) 352-9763
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / General Practice | 208D00000X | D0039496 | Maryland |
Profile Details
| NPI number | 1003193947 |
|---|---|
| LBN Legal business name | Jackson, Dianne Regina |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 7th, 2011 |
| Last updated | Nov 7th, 2011 - about 15 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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