Active NPIIndividual providerSole proprietor

Matthew Jackson, MS, ATC, LAT

Specialist/Technologist, Athletic Trainer in Townsend, Massachusetts

NPI Number1306237201
Practice location
51 Edward RD, Townsend, MA 01469-1107
Fax
—
Last updated
February 12, 2015

Matthew Jackson is a Specialist/Technologist, Athletic Trainer based in Townsend, MA. Matthew Jackson practices in Townsend, MA and has the professional credentials of MS, ATC, LAT. The NPI Number for Matthew Jackson is 1306237201 and holds a License No. 2701 (MA). The current practice location address for Matthew Jackson is 51 Edward RD, Townsend, MA 01469-1107 and can be reached out via phone at 978-732-3293.

Provider Profile Details

NPI Number
1306237201
Provider Name
Matthew Jackson
Credential
MS, ATC, LAT
Provider Entity Type
Individual
Gender
Male
Address
51 Edward RD, Townsend, MA 01469-1107
Phone Number
978-732-3293
Primary Taxonomy
Specialist/Technologist, Athletic Trainer · 2255A2300X
Sole Proprietor
Yes
Provider Enumeration Date
February 12, 2015
Last Update Date
February 12, 2015
NPI Status
Active

Provider Business Practice Location Address Details

Address
51 Edward RD
Townsend, MA 01469-1107
Zip
01469-1107
Phone Number
978-732-3293
Townsend, MA 01469Get directions →

Provider Business Mailing Address Details

Address
51 Edward RD
Townsend, MA 01469-1107
City
Townsend
State
MA
Zip
01469-1107
Phone Number
978-732-3293

License Information

License Number
2701
License State
MA
Taxonomy
Specialist/Technologist, Athletic Trainer · 2255A2300X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
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 Matthew Jackson, MS, ATC, LAT?

The NPI number of Matthew Jackson, MS, ATC, LAT is 1306237201. It was assigned on February 12, 2015 and is currently active in the NPPES registry.

What is the specialty of Matthew Jackson, MS, ATC, LAT?

Matthew Jackson, MS, ATC, LAT is registered under the primary taxonomy Specialist/Technologist, Athletic Trainer (code 2255A2300X), licensed in MA under license number 2701.

Where does Matthew Jackson, MS, ATC, LAT practice?

The practice location is 51 Edward RD, Townsend, MA 01469-1107. The office can be reached at 978-732-3293 (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 1306237201 directly on the NPPES registry website.

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