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:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1699058008 | NPPES |
| Colorado | Other | 0005694 | CO DEPT OF REGULATION |
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