National Provider Identifier Database

JAMES SHACKSON MD
Geriatric Psychiatry

Geriatric Psychiatry is a subspecialty with psychiatric expertise in prevention, evaluation, diagnosis and treatment of mental and emotional disorders in the elderly, and improvement of psychiatric care for healthy and ill elderly patients.


Contact Information

JAMES SHACKSON MD
9525 KENWOOD RD
SUITE 16-382
CINCINNATI, OH45242-6176
Phone: 513-721-3504
Fax: 513-345-6281
Website:
Specialty Taxonomy Code
* Geriatric Psychiatry 2084P0805X

* Indicates primary specialty

NPI Profile & details for JAMES SHACKSON MD

NPI Number 1962565408
Legal business name
LBN
JAMES SHACKSON MD
Authorized official JAMES SHACKSON - (PRESIDENT)
Entity Organization
Organization subpart No
Enumeration date 12/18/2006
Last updated 06/10/2008 - About 18 years ago
Sole proprietor1 Not specified
Identifiers
  • OH License #: 35062208
  • IN Medicaid: 200084400B
  • OH Medicaid: 934725
  • OH Other: P00381869 MEDICARE RAILROAD

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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