MR. Shawn A Jackson SAC-IT

  • NPI 1487922837
According to our database, the NPI number for MR. Shawn A Jackson SAC-IT is 1487922837 and activated since 12 years ago. MR. Shawn A Jackson SAC-IT is an individual provider who specializes in Addiction (Substance Use Disorder), and the primary practice location is 10532 N. Port Washington Rd., Mequon, WI 53092. You can also contact MR. Shawn A Jackson SAC-IT via telephone number is (262) 242-3810. Provider NPI information was last updated on 01/11/2013.

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Overview of MR. Shawn A Jackson SAC-IT

  • NPI number: 1598434045
  • Provider type: Individual
  • Gender: Male
  • Active since: 12/13/2011
  • Last updated: 01/11/2013

Primary Scrop of Practice

  • Taxonomy Code: 101YA0400X
  • Specialty: Addiction (Substance Use Disorder)
  • License Number: 16299-130
  • License State: WI

Provider Mailing Address

  • Address: 10532 N Port Washington Rd
    Mequon, WI 53092
  • Phone: 262-242-3810
  • Fax: 262-242-3816

Provider Practice Location

  • Address: 10532 N. Port Washington Rd.
    Mequon, WI 53092
  • Phone: 262-242-3810
  • Fax: 262-242-3816

Scope of Practice

  • Taxonomy Code: 101YA0400X
  • Specialty: Addiction (Substance Use Disorder)
  • License Number: 16299-130
  • License State: WI
  • Switch: Yes

Question & Answers

  • Q: What is the npi number?
  • A: An NPI is a 10-digit numeric identifier. It does not carry information about you, such as the State where you practice, your provider type, or your specialization. Your NPI will not change, even if your name, address, taxonomy, or other information changes.
  • Q: What are health care provider taxonomy codes?
  • A: The Health Care Provider (HCP) Taxonomy Codes Codes define a health care service provider type, classification, and area of specialization.
  • Q: What is the npi number for MR. Shawn A Jackson SAC-IT?
  • A: The npi number for MR. Shawn A Jackson SAC-IT is 1487922837.
  • Q: What are MR. Shawn A Jackson SAC-IT's specialties?
  • A: MR. Shawn A Jackson SAC-IT's specialties are Addiction (Substance Use Disorder) and different specialities.
  • Q: What is the medical license for MR. Shawn A Jackson SAC-IT?
  • A: The medical license number for MR. Shawn A Jackson SAC-IT is 16299-130 and issued in WI in USA.
  • Q: Where is MR. Shawn A Jackson SAC-IT practice location?
  • A: MR. Shawn A Jackson SAC-IT is practicing at 10532 N. Port Washington Rd., Mequon, WI 53092.
  • Q: How to contact MR. Shawn A Jackson SAC-IT?
  • A: You can contact MR. Shawn A Jackson SAC-IT via 262-242-3810.
Medicare Specialty
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