Jackson, Stacie W
Jackson, Stacie W is an individual health care provider with primary practice located at 719 Heritage Park Ln , Hoover AL 35226-4198. 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, Stacie W can be contacted via phone (205) 266-5394.Contact Information
Primary practice address
719 Heritage Park Ln
Hoover AL 35226-4198
Phone: (205) 266-5394
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist | 225X00000X | 2276 | Alabama |
Profile Details
| NPI number | 1225202393 |
|---|---|
| LBN Legal business name | Jackson, Stacie W |
| Credentials | OTR/L |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 18th, 2008 |
| Last updated | Jul 7th, 2014 - about 11 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1225202393 | NPPES |
| Alabama | Other | 2276 | OT LICENSE |
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