Neal, Jacarri

Neal, Jacarri is an sole proprietor health care provider with primary practice located at 287 Independence Blvd, Pembroke Building 2, Suite 322 , Virginia Beach VA 23455. He recently has only one registered license in Ambulatory Health Care Facilities / Developmental Disabilities, which is considered as his primary health care specialty. Neal, Jacarri can be contacted via phone (757) 502-9122.

Contact Information

Primary practice address
287 Independence Blvd, Pembroke Building 2, Suite 322 Virginia Beach VA 23455
Phone: (757) 502-9122
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Developmental Disabilities 261QD1600X Virginia

Profile Details

NPI number 1437754660
LBN Legal business name Neal, Jacarri
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 4th, 2020
Last updated Dec 4th, 2020 - 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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Identifiers

StateTypeNumberIssuer
All States NPI 1437754660 NPPES
Virginia MEDICAID 6047852541

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