Jackson, Michelle A

Jackson, Michelle A is an sole proprietor health care provider with primary practice located at 355 Kingbird Cir , Highlands Ranch CO 80129-5698. 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, Michelle A can be contacted via phone (919) 606-6400.

Contact Information

Primary practice address
355 Kingbird Cir Highlands Ranch CO 80129-5698
Phone: (919) 606-6400
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist 225X00000X 0005694 Colorado
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist 225X00000X 14246 Florida

Profile Details

NPI number 1699058008
LBN Legal business name Jackson, Michelle A
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 21st, 2011
Last updated Aug 6th, 2021 - about 3 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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Identifiers

StateTypeNumberIssuer
All States NPI 1699058008 NPPES
Colorado Other 0005694 CO DEPT OF REGULATION

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