Charlene Marie Jackson in Modesto - Technician
Charlene Marie Jackson - NPI 1245419472
Charlene Marie Jackson is a Technician in Modesto, California. Charlene Marie Jackson practices all healthcare services and medical treatments related to Technician. The NPI Number for Charlene Marie Jackson is 1245419472. The last update date is 2012-11-06.
Charlene Marie Jackson's current location address is 800 Scenic Dr, Modesto, California. You can contact this provider via phone number 2095256150. The mailing address for Charlene Marie Jackson is 800 Scenic Dr, Modesto, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Charlene Marie Jackson |
|---|---|
| Address | 800 Scenic Dr, Modesto, California |
| Phone Number | 2095256150 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1245419472 |
|---|---|
| Provider Enumeration Date | 2007-10-24 |
| Last Updated Date | 2012-11-06 |
Provider Mailing Address Detail
| Address | 800 Scenic Dr |
|---|---|
| City | Modesto |
| State | California (CA) |
| Post Code | 953506131 |
| Phone Number | 2095256150 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Technician |
|---|---|
| Taxonomy | 374700000X |
|
Definition: (1) A person with specialized training in a narrow field of expertise whose occupation requires training and is skilled in specific technical processes and procedures. (2) An individual having special skill or practical knowledge in an area, such as |
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What is the unique identification code assigned to Charlene Marie Jackson by the Centers for Medicare & Medicaid Services?
The Charlene Marie Jackson has been issued the NPI (National Provider Identifier) 1245419472. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where Charlene Marie Jackson is located?
The Charlene Marie Jackson is situated at the following address: 800 Scenic Dr, Modesto, CA, 953506131.
What is the Charlene Marie Jackson's specialty and taxonomy code?
The Charlene Marie Jackson's specialty is Technician, and the corresponding taxonomy code is 374700000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1245419472 to Charlene Marie Jackson?
The Centers for Medicare & Medicaid Services assigned the 1245419472 to Charlene Marie Jackson on 2007-10-24.
When was the Charlene Marie Jackson's information last updated?
The Charlene Marie Jackson's information was last updated on 2012-11-06.
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