1821256926 NPI number — MR. STEVON COLLINSWORTH JACKSON LICENSED PRACTICAL N

Table of content: MR. STEVON COLLINSWORTH JACKSON LICENSED PRACTICAL N (NPI 1821256926)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1821256926 NPI number — MR. STEVON COLLINSWORTH JACKSON LICENSED PRACTICAL N

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
JACKSON
Provider First Name:
STEVON
Provider Middle Name:
COLLINSWORTH
Provider Name Prefix Text:
MR.
Provider Name Suffix Text:
Provider Credential Text:
LICENSED PRACTICAL N
Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1821256926
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
05/27/2008
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
101 HIGHLAND AVENUE
Provider Second Line Business Mailing Address:
APT 2N
Provider Business Mailing Address City Name:
YONKERS
Provider Business Mailing Address State Name:
NY
Provider Business Mailing Address Postal Code:
10705
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
914-966-1094
Provider Business Mailing Address Fax Number:
914-966-1094

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
101 HIGHLAND AVENUE
Provider Second Line Business Practice Location Address:
APT 2N
Provider Business Practice Location Address City Name:
YONKERS
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
10705
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
914-966-1094
Provider Business Practice Location Address Fax Number:
914-966-1094
Provider Enumeration Date:
05/27/2008

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 164W00000X , with the licence number:  2862591 , registered in the state of NY ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





Copyright © 2007-2025 www.npivalidator.com