Jackson, Chris G

Jackson, Chris G is an sole proprietor health care provider with primary practice located at 6191 N State Highway 161 Ste 650 , Irving TX 75038-2250. He recently has only one registered license in Other Service Providers / Community Health Worker, which is considered as his primary health care specialty. Jackson, Chris G can be contacted via phone (972) 812-3299.

Contact Information

Primary practice address
6191 N State Highway 161 Ste 650 Irving TX 75038-2250
Phone: (972) 812-3299
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Community Health Worker 172V00000X 209724 Texas

Profile Details

NPI number 1124366497
LBN Legal business name Jackson, Chris G
Credentials Certified Occupational Therapy Assistant (COTA)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 22nd, 2013
Last updated Jan 22nd, 2013 - about 11 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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