Jackson-Szymczyk, Diane O

Jackson-Szymczyk, Diane O is an sole proprietor health care provider with primary practice located at 2425 Lynbridge Dr , Charlotte NC 28270-7774. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics, which is considered as her primary health care specialty. Jackson-Szymczyk, Diane O can be contacted via phone (704) 364-4429.

Contact Information

Primary practice address
2425 Lynbridge Dr Charlotte NC 28270-7774
Phone: (704) 364-4429
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics 2251P0200X 1260 North Carolina

Profile Details

NPI number 1437308483
LBN Legal business name Jackson-Szymczyk, Diane O
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 15th, 2008
Last updated Sep 15th, 2008 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1437308483 NPPES
North Carolina MEDICAID 7211596

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