Jackson, Lue Dee
Jackson, Lue Dee is an sole proprietor health care provider with primary practice located at 386 A-B Warren Street , Roxbury MA 02119. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Jackson, Lue Dee can be contacted via phone (800) 676-2750.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | 15374 | Massachusetts |
Profile Details
| NPI number | 1568623841 |
|---|---|
| LBN Legal business name | Jackson, Lue Dee |
| Credentials | DMD, MD |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 19th, 2008 |
| Last updated | Jun 19th, 2008 - about 18 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1568623841 | NPPES |
| Massachusetts | MEDICAID | 0262331 |
Popular Providers
-
Small, Rena Yvonne
386 Warren St , Roxbury MA 02119-1830 -
Sequerra, Silvia
1125 Tremont Street Whittier Street Health Center, Roxbury MA 02120 -
Sayegh, Nael
1290 Tremont St , Roxbury MA 02120-3432 -
Kamal Basha, Firdose Basha
45 Dimock Street Richards Building, Roxbury MA 02119 -
Zelinski, Thomas Robert
1290 Tremont St Dental Department, Roxbury MA 02120-3432 -
Venigalla, Bhuvan Shome
3033 Washington St , Roxbury MA 02119-1227 -
Haynes, Kimberly Nicole
435 Warren St , Roxbury MA 02119-1833 -
Lopez, Flavio
55 Dimock St , Roxbury MA 02119-1029