Jackson, John Phillip
Jackson, John Phillip is an individual health care provider with primary practice located at 7810 Avenue U Apt B , Lubbock TX 79423-2430. 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, John Phillip can be contacted via phone (806) 778-9735.Contact Information
Primary practice address
7810 Avenue U Apt B
Lubbock TX 79423-2430
Phone: (806) 778-9735
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist | 225X00000X | 102473 | Texas |
Profile Details
| NPI number | 1013043553 |
|---|---|
| LBN Legal business name | Jackson, John Phillip |
| Credentials | Registered Occupational Therapist (OTR) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 26th, 2007 |
| Last updated | May 14th, 2009 - about 16 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 | 1013043553 | NPPES |
| Texas | Other | 8T0844 | BLUE CROSS INDIVIDUAL NO |
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