Jackson, Russell Emanuel
Jackson, Russell Emanuel is an individual health care provider with primary practice located at 406 Sheridan Forest Rd , Goldsboro NC 27534-7103. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer, which is considered as his primary health care specialty. Jackson, Russell Emanuel can be contacted via phone (419) 215-8888.Contact Information
Primary practice address
406 Sheridan Forest Rd
Goldsboro NC 27534-7103
Phone: (419) 215-8888
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer | 2255A2300X | AT0005240 | Ohio |
Profile Details
| NPI number | 1932622867 |
|---|---|
| LBN Legal business name | Jackson, Russell Emanuel |
| Credentials | AT |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 23rd, 2017 |
| Last updated | Aug 3rd, 2021 - about 3 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.
Popular Providers
-
Gould, Jonathan Jay Manahaokalani
1004 Braswell Rd , Goldsboro NC 27530-8566 -
Mcalister, Eva Marie
13595 Atlantic Blvd Suite B, Jacksonville FL 32225-3256 -
Pauls, Bruce Dale
616 W Platt St , Maquoketa IA 52060-2118 -
Miller, Luke
302 Walnut Creek Dr , Goldsboro NC 27534-8993 -
Paizs, Samantha
506 Rudolph St Apt C , Goldsboro NC 27530-3900 -
Hand, Brett Allen
32 E Main St , Marshalltown IA 50158-4903 -
Brosseau, Walter Edward
1299 Parkway Dr Ste D , Goldsboro NC 27534-3491 -
Clark, Ryan N.
1931 Burlington St , North Kansas City MO 64116-3407