MR. CHARLES D JACKSON
NPI 1043655681
Driver in Cleveland, OH

Active since May 09, 2013
4856 W.12TH, SUITE 1, CLEVELAND, OH 44109(440) 749-3019 Get Directions Write a Review

NPPES record last updated: November 22, 2013. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mr. Charles D Jackson NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. CHARLES D JACKSON (NPI 1043655681) is an individual driver provider in Cleveland, Ohio, licensed in Ohio (RS884250) and active in the NPI registry since May 2013.

NPPES Registry Identity

NPI1043655681
Entity TypeIndividualMale
Primary Taxonomy172A00000X
Provider Legal NameMR. CHARLES D JACKSON
Location Address4856 W.12TH, SUITE 1Cleveland, OH 44109-3424
Mailing Address4856 W 12th StCleveland, OH 44109-5611 · (440) 749-3019
Sole ProprietorYes
Enumeration DateMay 9, 2013
Last NPPES UpdateNovember 22, 2013
NPI 1043655681 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDriverOther Service Providers
Taxonomy Code172A00000X
License Licensed in OH · RS884250
Definition
A person employed to operate a motor vehicle as a carrier of persons or property.
4856 W.12TH, Cleveland, OH 44109

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Charles Jackson's NPI number?

The NPI number for Charles Jackson is 1043655681. It was assigned to this individual provider in the NPPES registry on May 9, 2013.

Where is Charles Jackson located?

Charles Jackson practices at 4856 W.12th Suite 1, Cleveland, OH 44109. The listed phone number is (440) 749-3019.

What is Charles Jackson's specialty?

The primary specialty registered for this NPI is Driver with taxonomy code 172A00000X.

When was this NPI record last updated?

The NPPES record for Charles Jackson was last updated on November 22, 2013. NPI Profile syncs with the weekly NPPES data releases published by CMS.