Jackson, Phyllis

Jackson, Phyllis is an sole proprietor health care provider with primary practice located at 9384 Florida Boulevard Suite F, Walker LA 70785. She recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as her primary health care specialty. Jackson, Phyllis can be contacted via phone (225) 791-0911.

Contact Information

Primary practice address
9384 Florida Boulevard Suite F Walker LA 70785
Phone: (225) 791-0911
Fax: (225) 791-1977
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X 941 Louisiana

Profile Details

NPI number 1154473684
LBN Legal business name Jackson, Phyllis
Credentials Surgical Technician (ST)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 17th, 2007
Last updated Jul 8th, 2007 - about 19 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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