Richard Allen Jackson in Otis Angb - Emergency Medical Technician, Basic

Richard Allen Jackson - NPI 1952386690

Richard Allen Jackson is a Emergency Medical Technician, Basic in Otis Angb, Massachusetts. Richard Allen Jackson practices all healthcare services and medical treatments related to Emergency Medical Technician, Basic. The NPI Number for Richard Allen Jackson is 1952386690. The last update date is 2007-07-08.

Richard Allen Jackson's current location address is Kaehler Memorial Medical Clinic, Otis Angb, Massachusetts. You can contact this provider via phone number 5089686713. The mailing address for Richard Allen Jackson is Kaehler Memorial Medical Clinic, Otis Angb, Massachusetts. To know further, please read the information below!

Provider Profile Detail

Provider Name Richard Allen Jackson
Address Kaehler Memorial Medical Clinic, Otis Angb, Massachusetts
Phone Number 5089686713
Fax Number
Sole Proprietor X
Credentials HS

NPI Number Detail

NPI Number 1952386690
Provider Enumeration Date 2005-12-14
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address Kaehler Memorial Medical Clinic
City Otis Angb
State Massachusetts (MA)
Post Code 2542
Phone Number 5089686713
Fax Number

Provider's Primary Taxonomy Detail

Speciality Emergency Medical Technician, Basic
Taxonomy 146N00000X
Licence No B0415118
Definition:
A Basic EMT is an individual trained and certified to perform basic life support treatment in medical emergencies based on individual state boards.

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FAQs about Richard Allen Jackson

What is the unique identification code assigned to Richard Allen Jackson by the Centers for Medicare & Medicaid Services?

The Richard Allen Jackson has been issued the NPI (National Provider Identifier) 1952386690. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you please provide the complete street address where Richard Allen Jackson is physically located?

The Richard Allen Jackson is physically situated at the following address: Kaehler Memorial Medical Clinic, Otis Angb, MA, 2542.

What is Richard Allen Jackson's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?

The primary field of medical specialization for Richard Allen Jackson is Emergency Medical Technician, Basic, and the taxonomy classification code that categorizes this area of expertise is 146N00000X.

When did Richard Allen Jackson receive its 1952386690 assignment?

The Richard Allen Jackson was assigned its 1952386690 on 2005-12-14, which is the date when this unique identifier was issued to the organization.

When was the information related to Richard Allen Jackson most recently updated or refreshed?

The details pertaining to the Richard Allen Jackson, including its address, specialty, and other relevant information, were last updated or refreshed on 2007-07-08.

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