Jackson, Joshua

Jackson, Joshua is an sole proprietor health care provider with primary practice located at 76 Lou Groza Blvd , Berea OH 44017-1238. 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, Joshua can be contacted via phone (732) 272-7869.

Contact Information

Primary practice address
76 Lou Groza Blvd Berea OH 44017-1238
Phone: (732) 272-7869
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer 2255A2300X 2000053452 Ohio

Profile Details

NPI number 1760166052
LBN Legal business name Jackson, Joshua
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 15th, 2023
Last updated Jun 15th, 2023 - about 3 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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