Individual provider · Type 1 NPI
Richard Allen Jackson, HS
Other Technician · Otis Angb, MA
NPI number
1952386690
Active
Practice location
Kaehler Memorial Medical Clinic, US Coast Guard
Otis Angb, MA 02542
Mailing address
5690 Peets St
Otis Angb, MA 02542-1030
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Basic Emergency Medical Technician | 146N00000X | B0415118 (CA) |
| Other Technician Primary | 247200000X | None listed |
Other Technician: 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.
Another provider at this address
About NPI 1952386690
Richard Allen Jackson, HS's National Provider Identifier is 1952386690, issued on Dec 14, 2005. The primary taxonomy on file is Other Technician (247200000X), and the practice location is in Otis Angb, MA. The record was last updated on Jul 13, 2026.