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Mr. Richard Allen Jackson, HS
Other Technician in Otis Angb, Massachusetts
NPI 1952386690

Richard Allen Jackson is a Other Technician based in Otis Angb, MA. Richard Allen Jackson practices in Otis Angb, MA and has the professional credentials of HS. The NPI Number for Richard Allen Jackson is 1952386690 and holds a License No. B0415118 (Massachusetts).

The current practice location address for Richard Allen Jackson is Kaehler Memorial Medical Clinic, Otis Angb, MA and can be reached out via phone at 508-968-6713. You can also correspond with Richard Allen Jackson through the mailing address at 5690 PEETS ST, OTIS ANGB, MA - 02542-1030 (mailing address contact number: 503-504-6492).

Location: Kaehler Memorial Medical Clinic, Otis Angb, MA, 02542-1030
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1952386690
Provider Name
Richard Allen Jackson
Credential
HS
Provider Entity Type
Individual
Gender
Male
Address
Kaehler Memorial Medical Clinic, Otis Angb, MA, 02542-1030
Phone Number
508-968-6713
Fax Number
Provider Enumeration Date
12/14/2005
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
Kaehler Memorial Medical Clinic
City
Otis Angb
State
Massachusetts
Zip
02542
Phone Number
508-968-6713
Fax Number
person
Provider Business Mailing Address Details
Address
5690 Peets St
City
Otis Angb
State
Massachusetts
Zip
02542-1030
Phone Number
503-504-6492
Fax Number
person
Provider's Taxonomy Details 1
Type
Emergency Medical Service Providers
Classification
Emergency Medical Technician, Basic
Speciality
-
Taxonomy
146N00000X
License No.
()
Definition
A Basic EMT is an individual trained and certified to perform basic life support treatment in medical emergencies based on individual state boards.
person
Provider's Taxonomy Details 2
Type
Technologists, Technicians & Other Technical Service Providers
Classification
Technician, Other
Speciality
-
Taxonomy
247200000X
License No.
B0415118 (California)
Definition
A collective term for persons with specialized training in various narrow fields of expertise whose occupations require training and skills in specific technical processes and procedures; and where further classification is deemed unnecessary by the user.
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