National Provider Identifier Database

IRVIN C JACKSON
Non-emergency Medical Transport (VAN)

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.


Contact Information

IRVIN C JACKSON
327 EAST STREET
SHUBUTA, MS39360
Phone: 601-577-4018
Fax:
Website:
Specialty Taxonomy Code
* Non-emergency Medical Transport (VAN) 343900000X

* Indicates primary specialty

NPI Profile & details for IRVIN C JACKSON

NPI Number 1851903264
Credentials
Entity Individual
Enumeration date 08/18/2020
Last updated 09/02/2020 - About 6 years ago
Sole proprietor1 Yes
Identifiers
  • MS License #: 8006822128
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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