Jackson, David Edward

Jackson, David Edward is an sole proprietor health care provider with primary practice located at 3321 E 35Th Ave , Lake Station IN 46405-3016. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist, which is considered as his primary health care specialty. Jackson, David Edward can be contacted via phone (219) 714-4100.

Contact Information

Primary practice address
3321 E 35Th Ave Lake Station IN 46405-3016
Phone: (219) 714-4100
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist 225700000X

Profile Details

NPI number 1275711350
LBN Legal business name Jackson, David Edward
Credentials C.M.T.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 31st, 2008
Last updated Jan 31st, 2008 - about 17 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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