Jackson, Nathaniel

Jackson, Nathaniel is an sole proprietor health care provider with primary practice located at 617 S Green St Suite 102, Morganton NC 28655-3517. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Jackson, Nathaniel can be contacted via phone (828) 438-2725.

Contact Information

Primary practice address
617 S Green St Suite 102 Morganton NC 28655-3517
Phone: (828) 438-2725
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X P11832 North Carolina

Profile Details

NPI number 1619127826
LBN Legal business name Jackson, Nathaniel
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 24th, 2008
Last updated Apr 23rd, 2009 - about 15 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 1619127826 NPPES
North Carolina Other P11832 PT LICENSE

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