Leysath, Jacquanna Janice

Leysath, Jacquanna Janice is an sole proprietor health care provider with primary practice located at 1607 F Ave , West Columbia SC 29169-6174. She recently has only one registered license in Agencies / Community/Behavioral Health, which is considered as her primary health care specialty. Leysath, Jacquanna Janice can be contacted via phone (803) 552-1102.

Contact Information

Primary practice address
1607 F Ave West Columbia SC 29169-6174
Phone: (803) 552-1102
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Agencies / Community/Behavioral Health 251S00000X

Profile Details

NPI number 1104578061
LBN Legal business name Leysath, Jacquanna Janice
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 21st, 2022
Last updated Jan 21st, 2022 - about 4 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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