MIKE JACKSON
NPI 1861098659
Driver in Solon, OH
About Mike Jackson NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MIKE JACKSON (NPI 1861098659) is an individual driver provider in Solon, Ohio and active in the NPI registry since December 2020.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
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 Mike Jackson's NPI number?
The NPI number for Mike Jackson is 1861098659. It was assigned to this individual provider in the NPPES registry on December 8, 2020.
Where is Mike Jackson located?
Mike Jackson practices at 6700 Ayleshire Dr, Solon, OH 44139. The listed phone number is (440) 759-2512.
What is Mike 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 Mike Jackson was last updated on December 8, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Mike Jackson · NPI 1861098659
Driver provider in Solon, Ohio. Individual provider, active in the CMS NPPES registry since December 8, 2020.
## Identity
- **NPI:** 1861098659 (Entity type: Individual)
- **Enumerated:** December 8, 2020
- **Primary specialty:** Driver · taxonomy 172A00000X
- **Sole proprietor:** Yes
## Practice location
- **Address:** 6700 AYLESHIRE DR, Solon, OH 44139-3866
- **Phone:** (440) 759-2512
## Record status
- **NPPES last updated:** December 8, 2020
- **Other identifiers:** Medicaid 910001002810 (OH)
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Source: [NPI Profile](https://npiprofile.com/npi/1861098659) · Data from the CMS NPPES public registry.