Jackson, Jaime

Jackson, Jaime is an individual health care provider with primary practice located at 7003 Woodway Dr Ste 305, Waco TX 76712-6170. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, which is considered as her primary health care specialty. Jackson, Jaime can be contacted via phone (254) 776-7864.

Contact Information

Primary practice address
7003 Woodway Dr Ste 305 Waco TX 76712-6170
Phone: (254) 776-7864
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist 225X00000X

Profile Details

NPI number 1417067075
LBN Legal business name Jackson, Jaime
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 30th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1417067075 NPPES
Texas Other 103628 LICENSE #

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