St Amant Jackson, Phyllis
St Amant Jackson, Phyllis is an sole proprietor health care provider with primary practice located at 13317 South Choctaw Drive Suite C3, Baton Rouge LA 70815. She recently has only one registered license in Other Service Providers / Contractor, which is considered as her primary health care specialty. St Amant Jackson, Phyllis can be contacted via phone (225) 364-6208.Contact Information
Primary practice address
13317 South Choctaw Drive Suite C3
Baton Rouge LA 70815
Phone: (225) 364-6208
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Contractor | 171W00000X |
Profile Details
| NPI number | 1104283340 |
|---|---|
| LBN Legal business name | St Amant Jackson, Phyllis |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 19th, 2016 |
| Last updated | Jan 19th, 2016 - about 10 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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