Jackson, Tommy

Jackson, Tommy is an individual health care provider with primary practice located at 1760 Termino Ave 208, Long Beach CA 90804-2105. He recently has only one registered license in Technologists, Technicians & Other Technical Service Providers / Orthopedic Assistant, which is considered as his primary health care specialty. Jackson, Tommy can be contacted via phone (562) 961-5655.

Contact Information

Primary practice address
1760 Termino Ave 208 Long Beach CA 90804-2105
Phone: (562) 961-5655
Fax: (562) 961-8836
Website:
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Health care specialties

SpecialtyCodeLicense #State
Technologists, Technicians & Other Technical Service Providers / Orthopedic Assistant 246ZX2200X 02-0922 California

Profile Details

NPI number 1497297154
LBN Legal business name Jackson, Tommy
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 12th, 2016
Last updated Nov 12th, 2016 - about 8 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 1497297154 NPPES
California Other 02-0922 NATIONAL BOARD FOR CERTIFICATION OF ORTHOPAEDIC TECHNOLOGISTS

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