Jackson, Nicole Lee
Jackson, Nicole Lee is an sole proprietor health care provider with primary practice located at 241 Park Ave , Sinking Spring PA 19608-1329. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapy Assistant, which is considered as her primary health care specialty. Jackson, Nicole Lee can be contacted via phone (610) 223-7359.Contact Information
Primary practice address
241 Park Ave
Sinking Spring PA 19608-1329
Phone: (610) 223-7359
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapy Assistant | 224Z00000X | TOP008453 | Pennsylvania |
Profile Details
NPI number | 1568723344 |
---|---|
LBN Legal business name | Jackson, Nicole Lee |
Credentials | OTA |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Jun 7th, 2012 |
Last updated | Jun 7th, 2012 - about 12 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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