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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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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