Jackson, Blake

Jackson, Blake is an individual health care provider with primary practice located at 8132 Cordova Rd Suite 102, Cordova TN 38016-6005. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Jackson, Blake can be contacted via phone (901) 751-0939.

Contact Information

Primary practice address
8132 Cordova Rd Suite 102 Cordova TN 38016-6005
Fax: (901) 751-0332
Website:

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X 0000002850 Tennessee

Profile Details

NPI number 1467837591
LBN Legal business name Jackson, Blake
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 30th, 2015
Last updated Jul 30th, 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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