Jackson, Nadine A

Jackson, Nadine A is an sole proprietor health care provider with primary practice located at 4335 Vineland Ave Apt 222 , Studio City CA 91602-3430. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist, which is considered as her primary health care specialty. Jackson, Nadine A can be contacted via phone (617) 272-5294.

Contact Information

Primary practice address
4335 Vineland Ave Apt 222 Studio City CA 91602-3430
Phone: (617) 272-5294
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist 225700000X 78135 California

Profile Details

NPI number 1366057218
LBN Legal business name Jackson, Nadine A
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 8th, 2020
Last updated Sep 8th, 2020 - about 6 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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