Jackson, Wayne

Jackson, Wayne is an individual health care provider with primary practice located at 10300B Baltimore National Pike , Ellicott City MD 21042-2128. 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, Wayne can be contacted via phone (410) 988-5171.

Contact Information

Primary practice address
10300B Baltimore National Pike Ellicott City MD 21042-2128
Phone: (410) 988-5171
Fax: (410) 988-5349
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 25338 Maryland

Profile Details

NPI number 1104204668
LBN Legal business name Jackson, Wayne
Credentials DPT
Entity Individual
Sole proprietor 1 No
Enumeration date May 15th, 2015
Last updated Dec 4th, 2015 - 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.

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