Jackson, Daniel Shane

Jackson, Daniel Shane is an individual health care provider with primary practice located at 5501 Nw 62Nd Ter Ste 102 , Kansas City MO 64151-2412. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Jackson, Daniel Shane can be contacted via phone (816) 453-4485.

Contact Information

Primary practice address
5501 Nw 62Nd Ter Ste 102 Kansas City MO 64151-2412
Phone: (816) 453-4485
Fax: (816) 453-4101
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 2002029465 Missouri
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 11-03205 Kansas

Profile Details

NPI number 1952301756
LBN Legal business name Jackson, Daniel Shane
Credentials DPT
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 22nd, 2005
Last updated Oct 6th, 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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