Jackson, Jason Cole
Jackson, Jason Cole is an individual health care provider with primary practice located at 1211 Dinah Shore Blvd , Winchester TN 37398-1107. He recently has 2 registered licenses in different health care specialties including Chiropractic Providers / Chiropractor, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is his primary health care specialty. Jackson, Jason Cole can be contacted via phone (931) 967-6669.Contact Information
Primary practice address
1211 Dinah Shore Blvd
Winchester TN 37398-1107
Phone: (931) 967-6669
Fax: (931) 967-6606
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Chiropractic Providers / Chiropractor | 111N00000X | 0000002010 | Tennessee |
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 2187 | Tennessee |
Profile Details
NPI number | 1649378464 |
---|---|
LBN Legal business name | Jackson, Jason Cole |
Credentials | PA-C, DC |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Sep 20th, 2006 |
Last updated | Oct 13th, 2014 - about 10 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 | 1649378464 | NPPES |
Tennessee | Other | 4117134 | TN BC/BS |
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