Jackson, Deshaun Antonio

Jackson, Deshaun Antonio is an sole proprietor health care provider with primary practice located at 1406 Westwood Rd , Natchez MS 39120-5055. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Jackson, Deshaun Antonio can be contacted via phone (601) 807-2619.

Contact Information

Primary practice address
1406 Westwood Rd Natchez MS 39120-5055
Phone: (601) 807-2619
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X PT 4069 Mississippi

Profile Details

NPI number 1285990622
LBN Legal business name Jackson, Deshaun Antonio
Credentials DPT
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 10th, 2012
Last updated Apr 10th, 2012 - about 13 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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