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Contact Information

HENRY E JACKSON
1703 GEORGIA AVE
RICHMOND, VA23220
 Phone: 804-873-6884
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Kinesiotherapist

226300000X
Indicates primary specialty

NPI Profile & details for HENRY E JACKSON · (Male)

NPI Number 1124441621
Status Active
Credentials
Entity Individual
Enumeration date 02/04/2014
Last updated 02/04/2014 - About 12 years ago
Sole proprietor 1 Yes
Identifiers Not Available
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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