Karen Lynette Jackson in Milwaukee - Contractor
Karen Lynette Jackson - NPI 1013111228
Karen Lynette Jackson is a Contractor in Milwaukee, Wisconsin. Karen Lynette Jackson practices all healthcare services and medical treatments related to Contractor. The NPI Number for Karen Lynette Jackson is 1013111228. The last update date is 2007-07-08.
Karen Lynette Jackson's current location address is 2915 N 44th St, Milwaukee, Wisconsin. You can contact this provider via phone number 4144495105. The mailing address for Karen Lynette Jackson is 2915 N 44th St, Milwaukee, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Karen Lynette Jackson |
|---|---|
| Address | 2915 N 44th St, Milwaukee, Wisconsin |
| Phone Number | 4144495105 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | LPN |
NPI Number Detail
| NPI Number | 1013111228 |
|---|---|
| Provider Enumeration Date | 2007-06-12 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 2915 N 44th St |
|---|---|
| City | Milwaukee |
| State | Wisconsin (WI) |
| Post Code | 532101710 |
| Phone Number | 4144495105 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Contractor |
|---|---|
| Taxonomy | 171W00000X |
| Licence No | 29404-031 |
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Definition: A person who contracts to supply certain materials or do certain work for a stipulated sum; esp., one whose business is contracting work in any of the building trades. For purposes of the taxonomy, a person who contracts to complete home repairs or m |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 39877300 | EDS |
Post Comment/ Review Below
What is the Karen Lynette Jackson's unique identification number?
The Karen Lynette Jackson has been assigned the NPI (National Provider Identifier) Number 1013111228 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please share the complete physical location address where Karen Lynette Jackson's facilities are situated?
The facilities of Karen Lynette Jackson are physically located at the following address: 2915 N 44Th St, Milwaukee, WI, 532101710.
What is Karen Lynette 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 Karen Lynette Jackson is Contractor, and the taxonomy classification code that categorizes this area of expertise is 171W00000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1013111228 to Karen Lynette Jackson?
The Centers for Medicare & Medicaid Services originally issued the 1013111228 to Karen Lynette Jackson on 2007-06-12.
As of what date were the details pertaining to Karen Lynette Jackson last refreshed?
The information related to the Karen Lynette Jackson, including its address, specialty, and other relevant details, was last updated on 2007-07-08.