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Syenicka T Jackson
Non-emergency Medical Transport (VAN) in Burns Harbor, Indiana
NPI 1760112544

Syenicka T Jackson is a Non-emergency Medical Transport (VAN) based in Burns Harbor, IN. Syenicka T Jackson practices in Burns Harbor, IN. The NPI Number for Syenicka T Jackson is 1760112544 and holds a License No. (Indiana).

The current practice location address for Syenicka T Jackson is 323 Village Sq, Burns Harbor, IN and can be reached out via phone at 219-427-7906.

Location: 323 Village Sq, Burns Harbor, IN, 46304-9665
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1760112544
Provider Name
Syenicka T Jackson
Credential
Provider Entity Type
Individual
Gender
Male
Address
323 Village Sq, Burns Harbor, IN, 46304-9665
Phone Number
219-427-7906
Fax Number
Provider Enumeration Date
06/14/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
323 Village Sq
City
Burns Harbor
State
Indiana
Zip
46304-9665
Phone Number
219-427-7906
Fax Number
person
Provider Business Mailing Address Details
Address
323 Village Sq
City
Burns Harbor
State
Indiana
Zip
46304-9665
Phone Number
219-427-7906
Fax Number
person
Provider's Taxonomy Details 1
Type
Transportation Services
Classification
Non-emergency Medical Transport (VAN)
Speciality
-
Taxonomy
343900000X
License No.
(Indiana)
Definition
A land vehicle with a capacity to meet special height, clearance, access, and seating, for the conveyance of persons in non-emergency situations. The vehicle may or may not be required to meet local county or state regulations.
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