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Michael Jackson
Driver in Fishers, Indiana
NPI 1639818735

Michael Jackson is a Driver based in Fishers, IN. Michael Jackson practices in Fishers, IN. The NPI Number for Michael Jackson is 1639818735 and holds a License No. 2310019002 (Indiana).

The current practice location address for Michael Jackson is 10816 Washington Bay Dr, Fishers, IN and can be reached out via phone at 317-220-9537. You can also correspond with Michael Jackson through the mailing address at 10816 WASHINGTON BAY DR, FISHERS, IN - 46037-9554 (mailing address contact number: 317-220-9537).

Location: 10816 Washington Bay Dr, Fishers, IN, 46037-9554
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1639818735
Provider Name
Michael Jackson
Credential
Provider Entity Type
Individual
Gender
Male
Address
10816 Washington Bay Dr, Fishers, IN, 46037-9554
Phone Number
317-220-9537
Fax Number
Provider Enumeration Date
05/27/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
10816 Washington Bay Dr
City
Fishers
State
Indiana
Zip
46037-9554
Phone Number
317-220-9537
Fax Number
person
Provider Business Mailing Address Details
Address
10816 Washington Bay Dr
City
Fishers
State
Indiana
Zip
46037-9554
Phone Number
317-220-9537
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Driver
Speciality
-
Taxonomy
172A00000X
License No.
2310019002 (Indiana)
Definition
A person employed to operate a motor vehicle as a carrier of persons or property.
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