EARL F JACKMAN D.O. NPI 1881639011

NPI Information

NPI: 1881639011
Provider Name: EARL F JACKMAN, D.O.
Classification: Specialist - 174400000X
Entity Type: Individual
Address:
222 OAK AVE
TOMS RIVER, NJ
ZIP 08753
Phone: (732) 914-1919
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Earl F Jackman, D.O. is a specialist in Toms River, NJ. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. Earl F Jackman, D.O. NPI is 1881639011. 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:

222 OAK AVE
TOMS RIVER, NJ
ZIP 08753-348
Phone: (732) 914-1919
Fax: (732) 341-3303

The enumeration date for this NPI number is 6/19/2006 and was last updated on 7/8/2007.

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	174400000X	Specialist		25MB04461200	NEW JERSEY	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	Other Provider Identifier Issuer
1	F02902	OTHER	NEW JERSEY	HEALTH NET PHS
2	0176109	MEDICAID	NEW JERSEY
3	010045046NJ01	OTHER	NEW JERSEY	ST BARNABAS HEALTH
4	429240	OTHER	NEW JERSEY	AMERIHEALTH ADMIN
5	C52555	MEDICARE UPIN	NEW JERSEY
6	429240B80	MEDICARE ID-TYPE UNSPECIFIED	NEW JERSEY
7	5944918	OTHER	NEW JERSEY	CIGNA COMED
8	5944918004	OTHER	NEW JERSEY	CIGNA HMO
9	VP016	OTHER	NEW JERSEY	OXFORD
10	0159635000	OTHER	NEW JERSEY	AMERIHEALTH NJ

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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