Jackson, Craig
Jackson, Craig is an sole proprietor health care provider with primary practice located at 2423 Castlereagh Rd , Charleston SC 29414-6134. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapy Assistant, which is considered as his primary health care specialty. Jackson, Craig can be contacted via phone (843) 819-9470.Contact Information
Primary practice address
2423 Castlereagh Rd
Charleston SC 29414-6134
Phone: (843) 819-9470
Fax: (877) 286-5727
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapy Assistant | 224Z00000X | 981 | South Carolina |
Profile Details
| NPI number | 1659537512 |
|---|---|
| LBN Legal business name | Jackson, Craig |
| Credentials | COTA/L |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 31st, 2008 |
| Last updated | Jul 31st, 2008 - about 18 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1659537512 | NPPES |
| Other | 979693 | NATIONAL BOARD FOR CERTIFICATION IN OCCUPATIONAL THERAPY, INC | |
| Other | 981 | NATIONAL BOARD FOR CERTIFICATION IN OCCUPATIONAL THERAPY, INC |
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