NPI Profile for IRVIN C JACKSON in SHUBUTA, MS.
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.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Non-emergency Medical Transport (VAN) |
343900000X |
| NPI Number | 1851903264 |
|
| Status | Active | |
| Credentials | ||
| Entity | Individual | |
| Enumeration date | 08/18/2020 | |
| Last updated | 09/02/2020 - About 6 years ago | |
| Sole proprietor 1 | Yes | |
| Identifiers |
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|
| Hospital affiliation(s) | Not Available |
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IRVIN C JACKSON
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