Jackson, Timothy William

Jackson, Timothy William is an individual health care provider with primary practice located at 8918 Blakeney Professional Dr Suite 120, Charlotte NC 28277-6691. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Sports, which is considered as his primary health care specialty. Jackson, Timothy William can be contacted via phone (704) 900-8960.

Contact Information

Primary practice address
8918 Blakeney Professional Dr Suite 120 Charlotte NC 28277-6691
Phone: (704) 900-8960
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Sports 2251S0007X 2271 North Carolina

Profile Details

NPI number 1598997751
LBN Legal business name Jackson, Timothy William
Credentials D.P.T.
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 20th, 2009
Last updated Aug 20th, 2009 - about 15 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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