Active NPIIndividual provider

Christopher W Jackson, ATC, CEAS

Specialist/Technologist, Athletic Trainer in Caribou, Maine

NPI Number1942441126
Practice location
163 Van Buren RD, Suite 1, Caribou, ME 04736-3567
Fax
207-498-1653
Last updated
March 17, 2009

Christopher W Jackson is a Specialist/Technologist, Athletic Trainer based in Caribou, ME. Christopher W Jackson practices in Caribou, ME and has the professional credentials of ATC, CEAS. The NPI Number for Christopher W Jackson is 1942441126 and holds a License No. AT93 (ME). The current practice location address for Christopher W Jackson is 163 Van Buren RD, Suite 1, Caribou, ME 04736-3567 and can be reached out via phone at 207-498-1618 and via fax at 207-498-1653.

Provider Profile Details

NPI Number
1942441126
Provider Name
Christopher W Jackson
Credential
ATC, CEAS
Provider Entity Type
Individual
Gender
Male
Address
163 Van Buren RD, Suite 1, Caribou, ME 04736-3567
Phone Number
207-498-1618
Fax Number
207-498-1653
Primary Taxonomy
Specialist/Technologist, Athletic Trainer · 2255A2300X
Sole Proprietor
No
Provider Enumeration Date
March 17, 2009
Last Update Date
March 17, 2009
NPI Status
Active

Provider Business Practice Location Address Details

Address
163 Van Buren RD
Suite 1
Caribou, ME 04736-3567
State
Maine
Zip
04736-3567
Phone Number
207-498-1618
Fax Number
207-498-1653
Caribou, ME 04736Get directions →

Provider Business Mailing Address Details

Address
163 Van Buren RD
Suite 1
Caribou, ME 04736-3567
City
Caribou
State
ME
Zip
04736-3567
Phone Number
207-498-1618
Fax Number
207-498-1653

License Information

License Number
AT93
License State
ME
Taxonomy
Specialist/Technologist, Athletic Trainer · 2255A2300X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

Other Specialist/Technologist, Athletic Trainers near Caribou, ME

View all Specialist/Technologist, Athletic Trainers in Caribou →

Frequently Asked Questions

What is the NPI number of Christopher W Jackson, ATC, CEAS?

The NPI number of Christopher W Jackson, ATC, CEAS is 1942441126. It was assigned on March 17, 2009 and is currently active in the NPPES registry.

What is the specialty of Christopher W Jackson, ATC, CEAS?

Christopher W Jackson, ATC, CEAS is registered under the primary taxonomy Specialist/Technologist, Athletic Trainer (code 2255A2300X), licensed in ME under license number AT93.

Where does Christopher W Jackson, ATC, CEAS practice?

The practice location is 163 Van Buren RD, Suite 1, Caribou, ME 04736-3567. The office can be reached at 207-498-1618 (phone) or 207-498-1653 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1942441126 directly on the NPPES registry website.

Browse related providers