Roberson, Jackie Lynette

Roberson, Jackie Lynette is an individual health care provider with primary practice located at 3727 Parker Blvd , Pueblo CO 81008-2218. She recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Respiratory Therapist, Registered, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist is her primary health care specialty. Roberson, Jackie Lynette can be contacted via phone (719) 585-3400.

Contact Information

Primary practice address
3727 Parker Blvd Pueblo CO 81008-2218
Phone: (719) 585-3400
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Respiratory Therapist, Registered 227900000X RTL.0005892 Colorado
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist 225X00000X OT.0005855 Colorado

Profile Details

NPI number 1114484110
LBN Legal business name Roberson, Jackie Lynette
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 26th, 2019
Last updated Dec 27th, 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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