Curtis, De Ayn Jackson

Curtis, De Ayn Jackson is an individual health care provider with primary practice located at #1 Mesa Baja , Rowe NM 87562. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist, which is considered as her primary health care specialty. Curtis, De Ayn Jackson can be contacted via phone (505) 757-3601.

Contact Information

Primary practice address
#1 Mesa Baja Rowe NM 87562
Phone: (505) 757-3601
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist 225700000X 825 New Mexico

Profile Details

NPI number 1134215965
LBN Legal business name Curtis, De Ayn Jackson
Credentials LMT LICENSED MASSAGE
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 5th, 2006
Last updated Jul 8th, 2007 - about 19 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 1134215965 NPPES
New Mexico Other 02214517006 TAXATION AND REVENUE DEPT
New Mexico Other 00R56M TAXATION AND REVENUE DEPT

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