Jackson, Thomas A.

Jackson, Thomas A. is an individual health care provider with primary practice located at 22 Tompkins St , Waterbury CT 06708-1459. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Jackson, Thomas A. can be contacted via phone (203) 419-0381.

Contact Information

Primary practice address
22 Tompkins St Waterbury CT 06708-1459
Phone: (203) 419-0381
Fax: (203) 419-0389
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 008120 Connecticut

Profile Details

NPI number 1467649277
LBN Legal business name Jackson, Thomas A.
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 26th, 2007
Last updated Sep 26th, 2007 - about 19 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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