Jackson, Renita L

Jackson, Renita L is an individual health care provider with primary practice located at 9532 Wynlakes Pl , Montgomery AL 36117-8515. She recently has only one registered license in Other Service Providers / Case Manager/Care Coordinator, which is considered as her primary health care specialty. Jackson, Renita L can be contacted via phone (334) 270-3181.

Contact Information

Primary practice address
9532 Wynlakes Pl Montgomery AL 36117-8515
Phone: (334) 270-3181
Fax: (334) 270-5805
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Case Manager/Care Coordinator 171M00000X

Profile Details

NPI number 1750924106
LBN Legal business name Jackson, Renita L
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 17th, 2019
Last updated Oct 17th, 2019 - about 7 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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