Jackson, Shonta
Jackson, Shonta is an individual health care provider with primary practice located at 312 Marshall Ave Ste 908 , Laurel MD 20707-4824. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Rehabilitation Counselor, which is considered as her primary health care specialty. Jackson, Shonta can be contacted via phone (800) 994-5403.Contact Information
Primary practice address
312 Marshall Ave Ste 908
Laurel MD 20707-4824
Phone: (800) 994-5403
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Rehabilitation Counselor | 225C00000X |
Profile Details
| NPI number | 1154185254 |
|---|---|
| LBN Legal business name | Jackson, Shonta |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 8th, 2024 |
| Last updated | Feb 8th, 2024 - about 2 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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