Jackson, Gregory Lee

Jackson, Gregory Lee is an individual health care provider with primary practice located at 3821 Everetts Dl , Lexington KY 40514-1185. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer, which is considered as his primary health care specialty. Jackson, Gregory Lee can be contacted via phone (859) 351-6789.

Contact Information

Primary practice address
3821 Everetts Dl Lexington KY 40514-1185
Phone: (859) 351-6789
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer 2255A2300X Kentucky

Profile Details

NPI number 1356306203
LBN Legal business name Jackson, Gregory Lee
Credentials MS, ATC
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 20th, 2006
Last updated Jul 8th, 2007 - about 19 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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