SearchDelaware246RP1900X

Jason Jackson, C.P.T

NPI 1912363458 · on the registry since 2016 · sole proprietor

Practice

Address
4 E Weald Ave
Bear, DE 19701
Phone
(302) 230-1271
Fax
(302) 838-7034

Registry record

Primary taxonomy
246RP1900X
246RP1900X
Licence states on file
DE
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2016-01-13

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Delaware