Jackson, Michele Mary
Jackson, Michele Mary is an individual health care provider with primary practice located at 5669 Wendy Cir , Lockport NY 14094-6015. She recently has only one registered license in Other Service Providers / Specialist, which is considered as her primary health care specialty. Jackson, Michele Mary can be contacted via phone (716) 434-4970.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | 003569-1 | New York |
Profile Details
| NPI number | 1013292929 |
|---|---|
| LBN Legal business name | Jackson, Michele Mary |
| Credentials | OTR/L |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 12th, 2011 |
| Last updated | Oct 12th, 2011 - about 14 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 | 1013292929 | NPPES |
| New York | Other | 003569-1 | OCCUPATIONAL THERAPIST |
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