Jackson, Patrick

Jackson, Patrick is an sole proprietor health care provider with primary practice located at 918 Eisenhower Dr , Rock Springs WY 82901-4449. He recently has only one registered license in Behavioral Health & Social Service Providers / Behavior Technician, which is considered as his primary health care specialty. Jackson, Patrick can be contacted via phone (307) 399-1793.

Contact Information

Primary practice address
918 Eisenhower Dr Rock Springs WY 82901-4449
Phone: (307) 399-1793
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X RBT-19-78853. Wyoming

Profile Details

NPI number 1962968560
LBN Legal business name Jackson, Patrick
Credentials RBT
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 19th, 2019
Last updated Feb 19th, 2019 - about 7 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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