Jackson, Corey N

Jackson, Corey N is an sole proprietor health care provider with primary practice located at 130 Mankin Pl , La Vergne TN 37086-3048. He recently has only one registered license in Other Service Providers / Home Modifications, which is considered as his primary health care specialty. Jackson, Corey N can be contacted via phone (931) 722-1443.

Contact Information

Primary practice address
130 Mankin Pl La Vergne TN 37086-3048
Phone: (931) 722-1443
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Home Modifications 171WH0202X

Profile Details

NPI number 1972873321
LBN Legal business name Jackson, Corey N
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 3rd, 2012
Last updated Jan 3rd, 2012 - about 12 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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