Jackson, Nicholas T

Jackson, Nicholas T is an individual health care provider with primary practice located at 99 Regency Pkwy Ste 211 , Mansfield TX 76063-7819. He recently has only one registered license in Chiropractic Providers / Rehabilitation, which is considered as his primary health care specialty. Jackson, Nicholas T can be contacted via phone (800) 404-6050.

Contact Information

Primary practice address
99 Regency Pkwy Ste 211 Mansfield TX 76063-7819
Phone: (800) 404-6050
Fax: (866) 313-3397
Website:
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Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Rehabilitation 111NR0400X 12607 Texas

Profile Details

NPI number 1578977559
LBN Legal business name Jackson, Nicholas T
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 17th, 2014
Last updated Jan 10th, 2023 - about last year

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 1578977559 NPPES
Texas Other 12607 CHIROPRACTIC LICENSE

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