MR. CHARLES D JACKSON NPI 1043655681

NPI Information

  • NPI: 1043655681
  • Provider Name: MR. CHARLES D JACKSON
  • Classification: Driver - 172A00000X
  • Entity Type: Individual
  • Address: 4856 W.12TH
    SUITE 1
    CLEVELAND, OH
    ZIP 44109
  • Phone: (440) 749-3019

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NPI Details

MR. Charles D Jackson is a driver in Cleveland, OH. The provider is a person employed to operate a motor vehicle as a carrier of persons or property. MR. Charles D Jackson NPI is 1043655681. 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:

4856 W.12TH
SUITE 1
CLEVELAND, OH
ZIP 44109-424
Phone: (440) 749-3019

The enumeration date for this NPI number is 5/9/2013 and was last updated on 11/22/2013.

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
1172A00000XDriverRS884250OHIOYes

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: 3/30/2025

NPI Synchronization or Removal

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