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Contact Information

ERIC JACKSON, ATC
1219 6TH AVE S
BIRMINGHAM, AL35233
 Phone: 205-975-9256
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Athletic Trainer

2255A2300X
Indicates primary specialty

NPI Profile & details for ERIC JACKSON · (Male)

NPI Number 1447728910
Status Active
Credentials ATC
Entity Individual
Enumeration date 11/02/2018
Last updated 11/02/2018 - About 8 years ago
Sole proprietor 1 No
Identifiers
  • AL License # 2170
Hospital affiliation(s) Not Available
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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