Jackson, Erick Laron
Jackson, Erick Laron is an individual health care provider with primary practice located at 325 Mdg/Physical Therapy 340 Magnolia Circle, Tyndall Afb FL 32403. 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, Erick Laron can be contacted via phone (850) 283-7019.Contact Information
Primary practice address
325 Mdg/Physical Therapy 340 Magnolia Circle
Tyndall Afb FL 32403
Phone: (850) 283-7019
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | 2305208116 | Virginia |
Profile Details
NPI number | 1952730491 |
---|---|
LBN Legal business name | Jackson, Erick Laron |
Credentials | DPT |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Nov 5th, 2013 |
Last updated | Jul 6th, 2023 - about last year |
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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