Jackson, Ashiya Faye

Jackson, Ashiya Faye is an individual health care provider with primary practice located at 3205 Freedom Dr , Charlotte NC 28208-2866. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics, which is considered as her primary health care specialty. Jackson, Ashiya Faye can be contacted via phone (704) 336-7100.

Contact Information

Primary practice address
3205 Freedom Dr Charlotte NC 28208-2866
Phone: (704) 336-7100
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics 2251P0200X 070010961 Illinois

Profile Details

NPI number 1164551826
LBN Legal business name Jackson, Ashiya Faye
Credentials DPT, PCS
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 5th, 2007
Last updated Jan 12th, 2022 - about 3 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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