Jackson, Taylor

Jackson, Taylor is an individual health care provider with primary practice located at 707 E Merry Ave , Bowling Green OH 43403-4502. He recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer, Student, Health Care / Student in an Organized Health Care Education/Training Program. Student, Health Care / Student in an Organized Health Care Education/Training Program is his primary health care specialty. Jackson, Taylor can be contacted via phone (703) 835-4160.

Contact Information

Primary practice address
707 E Merry Ave Bowling Green OH 43403-4502
Phone: (703) 835-4160
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer 2255A2300X
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X

Profile Details

NPI number 1992173025
LBN Legal business name Jackson, Taylor
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 6th, 2015
Last updated Sep 6th, 2015 - 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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