Jihad Jackson is a Driver based in Milwaukee, WI. Jihad Jackson practices in Milwaukee, WI. The NPI Number for Jihad Jackson is 1891224770 and holds a License No. (Wisconsin).
The current practice location address for Jihad Jackson is 5427 N 91St St Apt 1, Milwaukee, WI and can be reached out via phone at 262-613-2960.
Location: 5427 N 91St St Apt 1, Milwaukee, WI, 53212-3497
Provider Profile Details
NPI Number
1891224770
Provider Name
Jihad Jackson
Credential
Provider Entity Type
Individual
Gender
Male
Address
5427 N 91St St Apt 1, Milwaukee, WI, 53212-3497
Phone Number
262-613-2960
Fax Number
Provider Enumeration Date
06/05/2017
Last Update Date
03/09/2024
Provider's Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 81-4901700 | 05 | WI |
Provider Business Practice Location Address Details
Address
5427 N 91St St Apt 1
City
State
Zip
53225-3427
Phone Number
262-613-2960
Fax Number
Provider Business Mailing Address Details
Address
5427 N 91St St Apt 1
City
State
Zip
53225-3427
Phone Number
262-613-2960
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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