Jackson, Earlene
Jackson, Earlene is an individual health care provider with primary practice located at 7404 Executive Pl #300B, Lanham MD 20706-2268. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as her primary health care specialty. Jackson, Earlene can be contacted via phone (301) 599-9500.Contact Information
Primary practice address
7404 Executive Pl #300B
Lanham MD 20706-2268
Phone: (301) 599-9500
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | 23062 | Maryland |
Profile Details
| NPI number | 1417223256 |
|---|---|
| LBN Legal business name | Jackson, Earlene |
| Credentials | PT, DPT |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 27th, 2012 |
| Last updated | Feb 28th, 2014 - about 11 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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