Jackson, Heather Kaye
Jackson, Heather Kaye is an sole proprietor health care provider with primary practice located at 1200 Towne Centre Blvd Spc 1142 , Provo UT 84601-2941. She recently has only one registered license in Agencies / Day Training, Developmentally Disabled Services, which is considered as her primary health care specialty. Jackson, Heather Kaye can be contacted via phone (972) 658-4509.Contact Information
Primary practice address
1200 Towne Centre Blvd Spc 1142
Provo UT 84601-2941
Phone: (972) 658-4509
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Agencies / Day Training, Developmentally Disabled Services | 251C00000X | F23-104260 | Utah |
Profile Details
| NPI number | 1720863764 |
|---|---|
| LBN Legal business name | Jackson, Heather Kaye |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 29th, 2023 |
| Last updated | Aug 29th, 2023 - about 3 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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