Jackson, Miriam

Jackson, Miriam is an sole proprietor health care provider with primary practice located at 206 E 3Rd St , Thibodaux LA 70301-3312. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as her primary health care specialty. Jackson, Miriam can be contacted via phone (985) 448-5888.

Contact Information

Primary practice address
206 E 3Rd St Thibodaux LA 70301-3312
Phone: (985) 448-5888
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X PT05216 Louisiana

Profile Details

NPI number 1376509265
LBN Legal business name Jackson, Miriam
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 21st, 2006
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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