National Provider Identifier Database

TONY KNIGHT JACKSON
Attendant Care Provider

An individual who provides hands-on care, of both a supportive and health related nature, specific to the needs of a medically stable, physically handicapped individual. Supportive services are those that substitute for the absence, loss, diminution, or impairment of a physical or cognitive function. This service may include skilled or nursing care to the extent permitted by state law.


Contact Information

TONY KNIGHT JACKSON
3802 HALF TURN RD APT 108
COLORADO SPRINGS, CO80917-2411
Phone: 719-306-8092
Fax:
Website:
Specialty Taxonomy Code
* Attendant Care Provider 3747A0650X

* Indicates primary specialty

NPI Profile & details for TONY KNIGHT JACKSON

NPI Number 1104670603
Credentials
Entity Individual
Enumeration date 04/12/2024
Last updated 04/12/2024 - About 2 years ago
Sole proprietor1 Yes
Identifiers n/a
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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