Jackson, Jaime
Jackson, Jaime is an individual health care provider with primary practice located at 7003 Woodway Dr Ste 305, Waco TX 76712-6170. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, which is considered as her primary health care specialty. Jackson, Jaime can be contacted via phone (254) 776-7864.Contact Information
Primary practice address
7003 Woodway Dr Ste 305
Waco TX 76712-6170
Phone: (254) 776-7864
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist | 225X00000X |
Profile Details
NPI number | 1417067075 |
---|---|
LBN Legal business name | Jackson, Jaime |
Credentials | |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Aug 30th, 2006 |
Last updated | Jul 8th, 2007 - about 17 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1417067075 | NPPES |
Texas | Other | 103628 | LICENSE # |
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