Jackson, Shirley
Jackson, Shirley is an sole proprietor health care provider with primary practice located at 170 Village Court , Martinsville VA 24112. 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, Shirley can be contacted via phone (276) 340-5158.Contact Information
Primary practice address
170 Village Court
Martinsville VA 24112
Phone: (276) 340-5158
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapy Assistant | 224Z00000X | 0131000169 | Virginia |
Profile Details
| NPI number | 1073915559 |
|---|---|
| LBN Legal business name | Jackson, Shirley |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 16th, 2014 |
| Last updated | Sep 16th, 2014 - about 10 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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