Colleen Marie Jackson, COF
Individual provider Active NPI Durable Medical Equipment & Medical Supplies · Taneytown, MD
NPI 1346354073 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1346354073
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Durable Medical Equipment & Medical Supplies 332B00000X
- License
- P03001 (MD)
- Practice address
- 417 E Baltimore St
Unit a
Taneytown, MD 21787-2300 - Phone
- (410) 756-5240
- NPI assigned
- Aug 19, 2006
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | P03001 | MD | Yes |
Addresses
Primary practice location
417 E Baltimore St
Unit a
Taneytown, MD 21787-2300
Mailing address
417 E Baltimore St
Unit a
Taneytown, MD 21787-2300
Phone (410) 756-5240
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| C22398 | Other | MD | BOC CERFIFIED ORTH FIT |
| 053828 | Other | MD | JOBST FITTER NUMBER |
| CFO02658 | Other | MD | ABC CERTIFIED FITTER-ORTH |
Other providers in Taneytown, MD
- Hilda'S Place Behavioral Health Organization
- Hilda'S Place Behavioral Health Organization
- Hilda'S Place Behavioral Health Organization
- Hilda'S Place Behavioral Health Organization,Inc
- Melissa Katlyn Houck
- Jason a Tate
- Emily Kendall Jones
- Kennies Market Inc
- Kevin J. Brewster, D.O. LLC
- Katlyn Krietz
All providers in Taneytown, MD · Durable Medical Equipment & Medical Supplies in Maryland
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.