Jackson, Jimmy Demario

Jackson, Jimmy Demario is an individual health care provider with primary practice located at 5755 Shattalon Dr , Winston Salem NC 27105-1332. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, which is considered as his primary health care specialty. Jackson, Jimmy Demario can be contacted via phone (336) 744-2779.

Contact Information

Primary practice address
5755 Shattalon Dr Winston Salem NC 27105-1332
Phone: (336) 744-2779
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist 225X00000X 5827 North Carolina

Profile Details

NPI number 1760516116
LBN Legal business name Jackson, Jimmy Demario
Credentials OTRL
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 16th, 2007
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.

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