Jackson, Fanny
Jackson, Fanny is an individual health care provider with primary practice located at 2601 10Th Ave N Suite 1000, Palm Springs FL 33461-3141. She recently has only one registered license in Dental Providers / Dental Hygienist, which is considered as her primary health care specialty. Jackson, Fanny can be contacted via phone (561) 642-1008.Contact Information
Primary practice address
2601 10Th Ave N Suite 1000
Palm Springs FL 33461-3141
Phone: (561) 642-1008
Fax: (561) 802-3976
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dental Hygienist | 124Q00000X | DH23160 | Florida |
Profile Details
| NPI number | 1679943245 |
|---|---|
| LBN Legal business name | Jackson, Fanny |
| Credentials | Registered Dental Hygienist (RDH) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 25th, 2015 |
| Last updated | Sep 25th, 2015 - about 11 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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