SYENICKA T JACKSON NPI 1760112544

NPI Information

NPI: 1760112544
Provider Name: SYENICKA T JACKSON
Classification: Non-emergency Medical Transport (VAN) - 343900000X
Entity Type: Individual
Address:
323 VILLAGE SQ
BURNS HARBOR, IN
ZIP 46304
Phone: (219) 427-7906
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Syenicka T Jackson is a non emergency medical transport van in Burns Harbor, IN. The provider is a land vehicle with a capacity to meet special height, clearance, access, and seating, for the conveyance of persons in non-emergency situations. The vehicle may or may not be required to meet local county or state regulations. Syenicka T Jackson NPI is 1760112544. 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:

323 VILLAGE SQ
BURNS HARBOR, IN
ZIP 46304-665
Phone: (219) 427-7906

The enumeration date for this NPI number is 6/14/2022 and was last updated on 6/14/2022.

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	343900000X	Non-emergency Medical Transport (VAN)			INDIANA	Yes

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: 5/5/2024

NPI Synchronization or Removal

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