CHARLES G JACKSON MD NPI 1851305866

NPI Information

NPI: 1851305866
Provider Name: CHARLES G JACKSON, MD
Classification: Allergy & Immunology - 207KA0200X
Entity Type: Individual

Specialization: Allergy

Address:
1200 112TH AVE NE
SUITE C-210
BELLEVUE, WA
ZIP 98004
Phone: (425) 454-2191
Get Directions

Charles G Jackson, MD is an allergy allergy immunology in Bellevue, WA. The provider is a physician who specializes in the diagnosis, treatment, and management of allergies. Source: National Uniform Claim Committee Charles G Jackson, MD NPI is 1851305866. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1200 112TH AVE NE
SUITE C-210
BELLEVUE, WA
ZIP 98004-732
Phone: (425) 454-2191
Fax: (425) 453-1270

The enumeration date for this NPI number is 7/27/2006 and was last updated on 7/7/2009.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207KA0200X	Allergy & Immunology	Allergy	MD00014267	WASHINGTON	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	A04795	MEDICARE UPIN	WASHINGTON
2	G217000382	MEDICARE PIN	WASHINGTON
3	K0000BLBDQ	MEDICARE PIN	ALASKA
4	1039247	MEDICAID	WASHINGTON

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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