Dr. Steven J Jackson, PHD, RD
Dietitian, Registered in Natick, Massachusetts
1134364029- Practice location
- 15 Kansas Street, Bldg 42, Usariem-Mnd, Natick, MA 01760
- Phone
- 508-233-5808
- Fax
- —
- Last updated
- December 8, 2008
Steven Jac Todd Jackson is a Dietitian, Registered based in Natick, MA. Steven Jac Todd Jackson practices in Natick, MA and has the professional credentials of PHD, RD. The NPI Number for Steven Jac Todd Jackson is 1134364029 and holds a License No. 164.004841 (IL). The current practice location address for Steven Jac Todd Jackson is 15 Kansas Street, Bldg 42, Usariem-Mnd, Natick, MA 01760 and can be reached out via phone at 508-233-5808.
Provider Profile Details
- NPI Number
- 1134364029
- Provider Name
- Steven Jac Todd Jackson
- Credential
- PHD, RD
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 15 Kansas Street, Bldg 42, Usariem-Mnd, Natick, MA 01760
- Phone Number
- 508-233-5808
- Primary Taxonomy
- Dietitian, Registered · 133V00000X
- Sole Proprietor
- No
- Provider Enumeration Date
- December 8, 2008
- Last Update Date
- December 8, 2008
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 15 Kansas Street, Bldg 42
Usariem-Mnd
Natick, MA 01760 - City
- Natick
- State
- Massachusetts
- Zip
- 01760
- Phone Number
- 508-233-5808
Provider Business Mailing Address Details
- Address
- 600 Main St
Apt. 1606
Worcester, MA 01608-2061 - City
- Worcester
- State
- MA
- Zip
- 01608-2061
- Phone Number
- 618-203-4426
License Information
- License Number (1)
- 164.004841
- License State (1)
- IL
- Taxonomy (1)
- Dietitian, Registered · 133V00000X · Primary
- License Number (2)
- LD003265
- License State (2)
- GA
- Taxonomy (2)
- Dietitian, Registered · 133V00000X
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Dr. Steven J Jackson, PHD, RD?
The NPI number of Dr. Steven J Jackson, PHD, RD is 1134364029. It was assigned on December 8, 2008 and is currently active in the NPPES registry.
What is the specialty of Dr. Steven J Jackson, PHD, RD?
Dr. Steven J Jackson, PHD, RD is registered under the primary taxonomy Dietitian, Registered (code 133V00000X), licensed in IL under license number 164.004841.
Where does Dr. Steven J Jackson, PHD, RD practice?
The practice location is 15 Kansas Street, Bldg 42, Usariem-Mnd, Natick, MA 01760. The office can be reached at 508-233-5808 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1134364029 directly on the NPPES registry website.