Jackson, Wanda Kay
Jackson, Wanda Kay is an individual health care provider with primary practice located at 510 E Stoner Ave #160, Shreveport LA 71101-4243. She recently has only one registered license in Dental Providers / Dental Hygienist, which is considered as her primary health care specialty. Jackson, Wanda Kay can be contacted via phone (318) 221-8411.Contact Information
Primary practice address
510 E Stoner Ave #160
Shreveport LA 71101-4243
Phone: (318) 221-8411
Fax: (318) 841-4795
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dental Hygienist | 124Q00000X | 376 | Louisiana |
Profile Details
| NPI number | 1043323504 |
|---|---|
| LBN Legal business name | Jackson, Wanda Kay |
| Credentials | Registered Dental Hygienist (RDH) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 17th, 2006 |
| Last updated | Jul 8th, 2007 - 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.
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