Individual provider · Type 1 NPI

William Jackson Jr.

Driver · Bedford, OH

NPI number 1093474272 Active

Practice location

720 Lincoln Blvd
Bedford, OH 44146-3730

Mailing address

P.o.box 37247
Bedford, OH 44146-9998

Specialties and licenses

TaxonomyCodeLicense
Contractor 171W00000XNone listed
Driver Primary 172A00000XNone listed

Driver: A person employed to operate a motor vehicle as a carrier of persons or property.

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About NPI 1093474272

William Jackson Jr.'s National Provider Identifier is 1093474272, issued on Dec 15, 2021. The primary taxonomy on file is Driver (172A00000X), and the practice location is in Bedford, OH. The record was last updated on Dec 15, 2021.