Jackson, Collette
Jackson, Collette is an sole proprietor health care provider with primary practice located at 3458 Mansfield Ln , Snellville GA 30039-4673. 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. Jackson, Collette can be contacted via phone (678) 886-4163.Contact Information
Primary practice address
3458 Mansfield Ln
Snellville GA 30039-4673
Phone: (678) 886-4163
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist | 225700000X | MT008846 | Georgia |
Profile Details
| NPI number | 1639625767 |
|---|---|
| LBN Legal business name | Jackson, Collette |
| Credentials | LMT |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 29th, 2016 |
| Last updated | Aug 29th, 2016 - 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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