Elizabeth A Jackson in Portland - Specialist
Elizabeth A Jackson - NPI 1104091784
Elizabeth A Jackson is a Specialist in Portland, Maine. Elizabeth A Jackson practices all healthcare services and medical treatments related to Specialist. The NPI Number for Elizabeth A Jackson is 1104091784. The last update date is 2008-12-08.
Elizabeth A Jackson's current location address is 94 Auburn St, Portland, Maine. You can contact this provider via phone number 2078783003 and fax number 2078783004. The mailing address for Elizabeth A Jackson is 94 Auburn St, Portland, Maine. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Elizabeth A Jackson |
|---|---|
| Address | 94 Auburn St, Portland, Maine |
| Phone Number | 2078783003 |
| Fax Number | 2078783004 |
| Sole Proprietor | Y |
| Credentials | LIC. MASSA |
NPI Number Detail
| NPI Number | 1104091784 |
|---|---|
| Provider Enumeration Date | 2008-04-24 |
| Last Updated Date | 2008-12-08 |
Provider Mailing Address Detail
| Address | 94 Auburn St |
|---|---|
| City | Portland |
| State | Maine (ME) |
| Post Code | 41032141 |
| Phone Number | 2078783003 |
| Fax Number | 2078783004 |
Provider's Primary Taxonomy Detail
| Speciality | Specialist |
|---|---|
| Taxonomy | 174400000X |
| Licence No | MT3127 |
|
Definition: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
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Post Comment/ Review Below
What is the unique identifier code issued to Elizabeth A Jackson by the Centers for Medicare & Medicaid Services (CMS)?
The Elizabeth A Jackson has been assigned the NPI (National Provider Identifier) 1104091784. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you provide the complete physical address where Elizabeth A Jackson is located?
The Elizabeth A Jackson is situated at the following address: 94 Auburn St, Portland, ME, 41032141.
What is Elizabeth A Jackson's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Elizabeth A Jackson is Specialist, and the taxonomy code that classifies this field of practice is 174400000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1104091784 to Elizabeth A Jackson?
The Centers for Medicare & Medicaid Services assigned the 1104091784 to Elizabeth A Jackson on 2008-04-24.
When was the information regarding Elizabeth A Jackson most recently updated?
The details pertaining to the Elizabeth A Jackson, including its address, specialty, and other relevant information, were last refreshed on 2008-12-08.
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