Jackson, Jason Cole

Jackson, Jason Cole is an individual health care provider with primary practice located at 1211 Dinah Shore Blvd , Winchester TN 37398-1107. He recently has 2 registered licenses in different health care specialties including Chiropractic Providers / Chiropractor, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is his primary health care specialty. Jackson, Jason Cole can be contacted via phone (931) 967-6669.

Contact Information

Primary practice address
1211 Dinah Shore Blvd Winchester TN 37398-1107
Phone: (931) 967-6669
Fax: (931) 967-6606
Website:
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Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X 0000002010 Tennessee
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 2187 Tennessee

Profile Details

NPI number 1649378464
LBN Legal business name Jackson, Jason Cole
Credentials PA-C, DC
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 20th, 2006
Last updated Oct 13th, 2014 - about 12 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 1649378464 NPPES
Tennessee Other 4117134 TN BC/BS

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