Jackson, Paulette

Jackson, Paulette is an individual health care provider with primary practice located at 108 Main Street , Lewiston NC 27849. She recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthotic Fitter, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Respiratory Therapist, Certified. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Respiratory Therapist, Certified is her primary health care specialty. Jackson, Paulette can be contacted via phone (252) 826-4040.

Contact Information

Primary practice address
108 Main Street Lewiston NC 27849
Phone: (252) 826-4040
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthotic Fitter 225000000X 9579 North Carolina
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Respiratory Therapist, Certified 227800000X A1145 North Carolina

Profile Details

NPI number 1659572212
LBN Legal business name Jackson, Paulette
Credentials CPED RESP THERAPIST
Entity Individual
Sole proprietor 1 No
Enumeration date May 30th, 2007
Last updated May 20th, 2008 - about 16 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 1659572212 NPPES
North Carolina MEDICAID 7490010
North Carolina MEDICAID 7795134

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