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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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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