John L Jackson is a Clinical in Elgin, Illinois. John L Jackson practices all healthcare services and medical treatments related to Clinical. The NPI Number for John L Jackson is 1316169279. The last update date is 2015-08-06.
John L Jackson's current location address is Po Box 6043, Elgin, Illinois. You can contact this provider via phone number 8472143676 and fax number 8478883659. The mailing address for John L Jackson is Po Box 6043, Elgin, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | John L Jackson |
|---|---|
| Address | Po Box 6043, Elgin, Illinois |
| Phone Number | 8472143676 |
| Fax Number | 8478883659 |
| Sole Proprietor | Y |
| Credentials | PH.D. |
NPI Number Detail
| NPI Number | 1316169279 |
|---|---|
| Provider Enumeration Date | 2007-05-02 |
| Last Updated Date | 2015-08-06 |
Provider Mailing Address Detail
| Address | Po Box 6043 |
|---|---|
| City | Elgin |
| State | Illinois (IL) |
| Post Code | 601216043 |
| Phone Number | 8472143676 |
| Fax Number | 8478883659 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | 71003528 |
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Definition: A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in |
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What is the unique identification code assigned to John L Jackson by the Centers for Medicare & Medicaid Services?
The John L Jackson has been issued the NPI (National Provider Identifier) 1316169279. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the John L Jackson's physical address?
The John L Jackson is physically located at Po Box 6043, in the city of Elgin, IL, with the postal code 601216043.
What is the area of specialization for John L Jackson, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for John L Jackson is Clinical, and the corresponding taxonomy code that categorizes this area of expertise is 103Tc0700X.
When did the John L Jackson receive its 1316169279?
The John L Jackson was issued its 1316169279 on 2007-05-02, which is the date when the organization was assigned this unique identifier.
When was the information regarding John L Jackson most recently updated?
The details pertaining to the John L Jackson, including its address, specialty, and other relevant information, were last refreshed on 2015-08-06.
NPI Number: 1639193113
Address: 3532 Ephraim Mcdowell Dr, Louisville, KY