Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mr. Charles D Jackson

Individual provider Driver · NPI 1043655681

Mr. Charles D Jackson is a Driver in Cleveland, Ohio. Practices as a sole proprietor. Licensed in Ohio.

Licensed in
OH
In the registry since
2013
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Practice location Address checks out

4856 W.12TH Ste 1
Cleveland, OH 44109-3424
Phone: (440) 749-3019
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Driver (primary) Taxonomy 172A00000X · Licence RS884250 (OH)

Record details

NPI number1043655681
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedMay 9, 2013
Last updated in NPPESNovember 22, 2013
Mailing address4856 W 12th St, Cleveland, OH 44109-5611

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