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Mrs. Colleen Marie Jackson, COF
Durable Medical Equipment & Medical Supplies in Taneytown, Maryland
NPI 1346354073

Colleen Marie Jackson is a Durable Medical Equipment & Medical Supplies based in Taneytown, MD. Colleen Marie Jackson practices in Taneytown, MD and has the professional credentials of COF. The NPI Number for Colleen Marie Jackson is 1346354073 and holds a License No. P03001 (Maryland).

The current practice location address for Colleen Marie Jackson is 417 E Baltimore St, Taneytown, MD and can be reached out via phone at 410-756-5240.

Location: 417 E Baltimore St, Taneytown, MD, 21787-2300
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1346354073
Provider Name
Colleen Marie Jackson
Credential
COF
Provider Entity Type
Individual
Gender
Female
Address
417 E Baltimore St, Taneytown, MD, 21787-2300
Phone Number
410-756-5240
Fax Number
Provider Enumeration Date
08/19/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
C22398 01 MD BOC CERFIFIED ORTH FIT
053828 01 MD JOBST FITTER NUMBER
CFO02658 01 MD ABC CERTIFIED FITTER-ORTH
institution
Provider Business Practice Location Address Details
Address
417 E Baltimore St
City
Taneytown
State
Maryland
Zip
21787-2300
Phone Number
410-756-5240
Fax Number
person
Provider Business Mailing Address Details
Address
417 E Baltimore St
City
Taneytown
State
Maryland
Zip
21787-2300
Phone Number
410-756-5240
Fax Number
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Durable Medical Equipment & Medical Supplies
Speciality
-
Taxonomy
332B00000X
License No.
P03001 (Maryland)
Definition
A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.
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