Larry D Jackson in Youngstown - Physician Assistant
Larry D Jackson - NPI 1912928441
Larry D Jackson is a Physician Assistant in Youngstown, Ohio. Larry D Jackson practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Larry D Jackson is 1912928441. The last update date is 2014-11-20.
Larry D Jackson's current location address is 500 Gypsy Ln, Youngstown, Ohio. You can contact this provider via phone number 3308841000. The mailing address for Larry D Jackson is 500 Gypsy Ln, Youngstown, Ohio. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Larry D Jackson |
|---|---|
| Address | 500 Gypsy Ln, Youngstown, Ohio |
| Phone Number | 3308841000 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | PA-C |
NPI Number Detail
| NPI Number | 1912928441 |
|---|---|
| Provider Enumeration Date | 2006-07-21 |
| Last Updated Date | 2014-11-20 |
Provider Mailing Address Detail
| Address | 500 Gypsy Ln |
|---|---|
| City | Youngstown |
| State | Ohio (OH) |
| Post Code | 445041315 |
| Phone Number | 3308841000 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | 50-000351 |
|
Definition: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 970029949 | OH | MEDICARE TRAVELERS RR-GA |
Post Comment/ Review Below
What is the unique identifier code issued to Larry D Jackson by the Centers for Medicare & Medicaid Services?
The Larry D Jackson has been assigned the NPI (National Provider Identifier) 1912928441. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
What is the unique 10-digit identifier code issued to Larry D Jackson by the Centers for Medicare & Medicaid Services?
The Larry D Jackson has been assigned the NPI (National Provider Identifier) 1912928441 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please share the complete physical location address where Larry D Jackson's facilities are situated?
The facilities of Larry D Jackson are physically located at the following address: 500 Gypsy Ln, Youngstown, OH, 445041315.
On what date did the Larry D Jackson receive the assignment of its 1912928441 from the Centers for Medicare & Medicaid Services?
The Larry D Jackson was issued its 1912928441 by the Centers for Medicare & Medicaid Services on 2006-07-21.
When was the information regarding Larry D Jackson most recently updated?
The details pertaining to the Larry D Jackson, including its address, specialty, and other relevant information, were last refreshed on 2014-11-20.