Jackson, David Nathan
Jackson, David Nathan is an sole proprietor health care provider with primary practice located at 7922 S Broadway Ave , Tyler TX 75703-5242. 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, David Nathan can be contacted via phone (903) 983-7775.Contact Information
Primary practice address
7922 S Broadway Ave
Tyler TX 75703-5242
Phone: (903) 983-7775
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | 1156269 | Texas |
Profile Details
| NPI number | 1548456502 |
|---|---|
| LBN Legal business name | Jackson, David Nathan |
| Credentials | Physical Therapist (PT) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 23rd, 2007 |
| Last updated | Sep 4th, 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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