Jackson, Ebony Jade
Jackson, Ebony Jade is an sole proprietor health care provider with primary practice located at 245 Kingsbury Dr , Sumter SC 29150-7547. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist, which is considered as her primary health care specialty. Jackson, Ebony Jade can be contacted via phone (803) 406-3001.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist | 225700000X | 10030 | South Carolina |
Profile Details
| NPI number | 1295575355 |
|---|---|
| LBN Legal business name | Jackson, Ebony Jade |
| Credentials | LMT |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 28th, 2024 |
| Last updated | May 28th, 2024 - about last year |
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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