Jackson, Paula
Jackson, Paula is an sole proprietor health care provider with primary practice located at 383 Corbin Center Drive , Corbin KY 40701. 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, Paula can be contacted via phone (606) 526-2919.Contact Information
Primary practice address
383 Corbin Center Drive
Corbin KY 40701
Phone: (606) 526-2919
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | 001409 | Kentucky |
Profile Details
| NPI number | 1275663726 |
|---|---|
| LBN Legal business name | Jackson, Paula |
| Credentials | Physical Therapist (PT) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 6th, 2007 |
| 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1275663726 | NPPES |
| Kentucky | MEDICAID | 87014098 |
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