Mike Jackson is a Driver based in Solon, OH. Mike Jackson practices in Solon, OH. The NPI Number for Mike Jackson is 1861098659 and holds a License No. (Ohio).
The current practice location address for Mike Jackson is 6700 Ayleshire Dr, Solon, OH and can be reached out via phone at 440-759-2512.
Location: 6700 Ayleshire Dr, Solon, OH, 44139-3866
Provider Profile Details
NPI Number
1861098659
Provider Name
Mike Jackson
Credential
Provider Entity Type
Individual
Gender
Male
Address
6700 Ayleshire Dr, Solon, OH, 44139-3866
Phone Number
440-759-2512
Fax Number
Provider Enumeration Date
12/08/2020
Last Update Date
03/10/2024
Provider's Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 910001002810 | 05 | OH |
Provider Business Practice Location Address Details
Address
6700 Ayleshire Dr
City
State
Zip
44139-3866
Phone Number
440-759-2512
Fax Number
Provider Business Mailing Address Details
Address
6700 Ayleshire Dr
City
State
Zip
44139-3866
Phone Number
440-759-2512
Fax Number
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Driver
Speciality
-
Taxonomy
License No.
()
Definition
A person employed to operate a motor vehicle as a carrier of persons or property.
Badge
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