Wiggins, Jackie

Wiggins, Jackie is an sole proprietor health care provider with primary practice located at 15000 Potomac Town Pl , Woodbridge VA 22191-6586. She recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Home Health, Agencies / Home Health. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Home Health is her primary health care specialty. Wiggins, Jackie can be contacted via phone (678) 237-6150.

Contact Information

Primary practice address
15000 Potomac Town Pl Woodbridge VA 22191-6586
Phone: (678) 237-6150
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Home Health 2278H0200X 0117007960 Virginia
Agencies / Home Health 251E00000X 1401181619 Virginia

Profile Details

NPI number 1457892960
LBN Legal business name Wiggins, Jackie
Credentials Certified Respiratory Therapist (CRT)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 16th, 2017
Last updated Mar 16th, 2017 - about 9 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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