David Edward Jackson Iii, CMT is a
Massage Therapist based in Lake Station, Indiana. David Edward Jackson Iii is licensed to practice in * (Not Available) (license number ) and his current practice location is
3321 E 35th Ave, Lake Station, Indiana. He can be reached at his office (for appointments etc.) via phone at
(219) 714-4100.
NPI number for David Edward Jackson Iii is 1275711350 and his current mailing address is 3321 E 35th Ave, Lake Station, Indiana. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1275711350.
Healthcare Provider's Profile
Full Name | David Edward Jackson Iii |
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Gender | Male |
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Speciality | Massage Therapist |
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Location | 3321 E 35th Ave, Lake Station, Indiana |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1275711350
- Provider Enumeration Date: 01/31/2008
- Last Update Date: 01/31/2008
Medical Identifiers
Medical identifiers for David Edward Jackson Iii such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1275711350 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
225700000X | Massage Therapist | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. David Edward Jackson Iii is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
David Edward Jackson Iii, CMT 3321 E 35th Ave, Lake Station, IN 46405-3016 Ph: (219) 714-4100 | David Edward Jackson Iii, CMT 3321 E 35th Ave, Lake Station, IN 46405-3016 Ph: (219) 714-4100 |
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