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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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 2 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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