DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MR. CHARLES D JACKSON

Active Sole Proprietor

Driver · CLEVELAND, OH

Registration Details

NPI Number
1043655681
Provider Type
Individual
Gender
Male
NPI Issued
May 9, 2013 (12.95431837606 yrs)
Last Updated
Nov 22, 2013
License
RS884250 (OH)
Sole Proprietor
Yes

Practice Information

Address
4856 W.12TH
SUITE 1
CLEVELAND, OH, 441093424
Browse OH providers · Browse ZIP 44109
Phone
4407493019
Primary Specialty
Driver
172A00000X

Other Driver Providers in CLEVELAND, OH

Name Credential NPI
RODNEY WILSON 1750520847
YOLANDA RANDALL LPN 1861739633
SABRINA L KIRKSEY 1154719243
MICHELLE K MOORE 1619501020
WONDERFUL WISE 1023610300
ARLOHN BRUMFIELD 1154923993
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.