Jackson, Jermal

Jackson, Jermal is an sole proprietor health care provider with primary practice located at Corner Of Routes N12 & N7 , Fort Defiance AZ 86504. He recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Neonatal/Pediatrics, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Critical Care. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Critical Care is his primary health care specialty. Jackson, Jermal can be contacted via phone (928) 729-8000.

Contact Information

Primary practice address
Corner Of Routes N12 & N7 Fort Defiance AZ 86504
Phone: (928) 729-8000
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Neonatal/Pediatrics 2279P3900X New Mexico
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Critical Care 2279C0205X New Mexico

Profile Details

NPI number 1760115992
LBN Legal business name Jackson, Jermal
Credentials Registered Respiratory Therapist (RRT)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 6th, 2022
Last updated Jul 6th, 2022 - 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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