Shannon Jackson in South Bend - Technician, Other
Shannon Jackson - NPI 1144427329
Shannon Jackson is a Technician, Other in South Bend, Indiana. Shannon Jackson practices all healthcare services and medical treatments related to Technician, Other. The NPI Number for Shannon Jackson is 1144427329. The last update date is 2007-07-08.
Shannon Jackson's current location address is 1950 Ridgedale Rd, South Bend, Indiana. You can contact this provider via phone number 5742916722. The mailing address for Shannon Jackson is 1950 Ridgedale Rd, South Bend, Indiana. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Shannon Jackson |
|---|---|
| Address | 1950 Ridgedale Rd, South Bend, Indiana |
| Phone Number | 5742916722 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | REHAB TECH |
NPI Number Detail
| NPI Number | 1144427329 |
|---|---|
| Provider Enumeration Date | 2007-06-29 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 1950 Ridgedale Rd |
|---|---|
| City | South Bend |
| State | Indiana (IN) |
| Post Code | 466142243 |
| Phone Number | 5742916722 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Technician, Other |
|---|---|
| Taxonomy | 247200000X |
|
Definition: A collective term for persons with specialized training in various narrow fields of expertise whose occupations require training and skills in specific technical processes and procedures; and where further classification is deemed unnecessary by the |
|
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Shannon Jackson by the Centers for Medicare & Medicaid Services?
The Shannon Jackson has been issued the NPI (National Provider Identifier) 1144427329, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Shannon Jackson?
The Shannon Jackson is physically situated at 1950 Ridgedale Rd, in the city of South Bend, state of IN, with the postal code 466142243.
What is Shannon 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 Shannon Jackson is Technician, Other, and the taxonomy classification code that categorizes this area of expertise is 247200000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1144427329 to Shannon Jackson?
The Shannon Jackson received its 1144427329 assignment from the Centers for Medicare & Medicaid Services on 2007-06-29.
When was the information related to Shannon Jackson most recently updated or refreshed?
The details pertaining to the Shannon Jackson, including its address, specialty, and other relevant information, were last updated or refreshed on 2007-07-08.
NPI Number: 1669475885
Address: 1005 Midwestern Pkwy, Wichita Falls, TX
NPI Number: 1285637785
Address: 101 Deer Run Rd, Elgin, SC
NPI Number: 1851394431
Address: 220 Reservoir St, Harrisonburg, VA