Jackson, Demara Timothy

Jackson, Demara Timothy is an sole proprietor health care provider with primary practice located at 940 Avenue 64 , Pasadena CA 91105-2711. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Rehabilitation Counselor, which is considered as his primary health care specialty. Jackson, Demara Timothy can be contacted via phone (323) 254-2274.

Contact Information

Primary practice address
940 Avenue 64 Pasadena CA 91105-2711
Phone: (323) 254-2274
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Rehabilitation Counselor 225C00000X

Profile Details

NPI number 1548538044
LBN Legal business name Jackson, Demara Timothy
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 12th, 2011
Last updated Sep 18th, 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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