Jackson, Sharon K.

Jackson, Sharon K. is an sole proprietor health care provider with primary practice located at 9335 Riggs St , Beaumont TX 77707-1107. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, which is considered as her primary health care specialty. Jackson, Sharon K. can be contacted via phone (409) 860-1843.

Contact Information

Primary practice address
9335 Riggs St Beaumont TX 77707-1107
Phone: (409) 860-1843
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist 225X00000X 102620 Texas

Profile Details

NPI number 1487877387
LBN Legal business name Jackson, Sharon K.
Credentials Registered Occupational Therapist (OTR)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 10th, 2007
Last updated Jul 19th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1487877387 NPPES
Texas MEDICAID 110025701
Texas Other 8T2057

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