Jackson, Jennifer Reiss
Jackson, Jennifer Reiss is an individual health care provider with primary practice located at 3932 N 10Th Ave , Pensacola FL 32503-2807. 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, Jennifer Reiss can be contacted via phone (850) 434-7755.Contact Information
Primary practice address
3932 N 10Th Ave
Pensacola FL 32503-2807
Phone: (850) 434-7755
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist | 225X00000X | 8640 | Florida |
Profile Details
NPI number | 1255444030 |
---|---|
LBN Legal business name | Jackson, Jennifer Reiss |
Credentials | OTR/L |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Aug 16th, 2006 |
Last updated | Jul 9th, 2007 - about 18 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 | 1255444030 | NPPES |
Florida | MEDICAID | 8857318 |
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