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
Phone: (901) 751-0939
Fax: (901) 751-0332
Website:
Health care specialties
| Specialty | Code | License # | 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 11 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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