Eddie Lacell Jackson in Stockton - Case Manager/care Coordinator
Eddie Lacell Jackson - NPI 1508988973
Eddie Lacell Jackson is a Case Manager/care Coordinator in Stockton, California. Eddie Lacell Jackson practices all healthcare services and medical treatments related to Case Manager/care Coordinator. The NPI Number for Eddie Lacell Jackson is 1508988973. The last update date is 2007-07-08.
Eddie Lacell Jackson's current location address is 1212 N California St, Stockton, California. You can contact this provider via phone number 2094688660. The mailing address for Eddie Lacell Jackson is 1212 N California St, Stockton, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Eddie Lacell Jackson |
|---|---|
| Address | 1212 N California St, Stockton, California |
| Phone Number | 2094688660 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1508988973 |
|---|---|
| Provider Enumeration Date | 2007-04-04 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 1212 N California St |
|---|---|
| City | Stockton |
| State | California (CA) |
| Post Code | 952021552 |
| Phone Number | 2094688660 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Case Manager/care Coordinator |
|---|---|
| Taxonomy | 171M00000X |
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Definition: A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a pe |
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What is the unique 10-digit identification code assigned to Eddie Lacell Jackson by the Centers for Medicare & Medicaid Services?
The Eddie Lacell Jackson has been issued the NPI (National Provider Identifier) 1508988973, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Eddie Lacell Jackson's physical address?
The Eddie Lacell Jackson is physically located at 1212 N California St, in the city of Stockton, CA, with the postal code 952021552.
What is the Eddie Lacell Jackson's specialty and taxonomy code?
The Eddie Lacell Jackson's specialty is Case Manager/care Coordinator, and the corresponding taxonomy code is 171M00000X.
On what date did the Eddie Lacell Jackson receive its 1508988973 assignment from the Centers for Medicare & Medicaid Services?
The Eddie Lacell Jackson was assigned its 1508988973 by the Centers for Medicare & Medicaid Services on 2007-04-04.
As of what date was the information regarding Eddie Lacell Jackson, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Eddie Lacell Jackson, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-07-08.
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