Jackson, Regina

Jackson, Regina is an sole proprietor health care provider with primary practice located at 650 Heather Ridge Dr Unit L , Frederick MD 21702-8814. She recently has only one registered license in Other Service Providers / Community Health Worker, which is considered as her primary health care specialty. Jackson, Regina can be contacted via phone (240) 656-8166.

Contact Information

Primary practice address
650 Heather Ridge Dr Unit L Frederick MD 21702-8814
Phone: (240) 656-8166
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Community Health Worker 172V00000X

Profile Details

NPI number 1588253884
LBN Legal business name Jackson, Regina
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 12th, 2021
Last updated Jan 12th, 2021 - about 5 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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