Jackson, Bryan W

Jackson, Bryan W is an sole proprietor health care provider with primary practice located at 410 Saybrook Rd Ste 100 , Middletown CT 06457. He recently has 2 registered licenses in different health care specialties including Chiropractic Providers / Chiropractor, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist is his primary health care specialty. Jackson, Bryan W can be contacted via phone (860) 638-3820.

Contact Information

Primary practice address
410 Saybrook Rd Ste 100 Middletown CT 06457
Phone: (860) 638-3820
Fax: (860) 638-3840
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X 3372 North Carolina
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 9924 North Carolina
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 005803 Connecticut

Profile Details

NPI number 1649288317
LBN Legal business name Jackson, Bryan W
Credentials D.C., P.T.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 4th, 2006
Last updated May 3rd, 2019 - about 7 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.

Request for update

Popular Providers