Jackson, Dianne Ruth

Jackson, Dianne Ruth is an individual health care provider with primary practice located at 1001 Blythe Blvd Suite 200, Charlotte NC 28203-5863. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthopedic, which is considered as her primary health care specialty. Jackson, Dianne Ruth can be contacted via phone (704) 323-2000.

Contact Information

Primary practice address
1001 Blythe Blvd Suite 200 Charlotte NC 28203-5863
Phone: (704) 323-2000
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthopedic 2251X0800X 4275 North Carolina

Profile Details

NPI number 1255314787
LBN Legal business name Jackson, Dianne Ruth
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 29th, 2005
Last updated May 13th, 2010 - about 16 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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