Organization
SPECIAL HANDS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CARL E JACKSON M.D. (OWNER)
(440) 953-1898
Entity
Organization
Contact information
Practice address
20050 HARVARD AVE, SUITE 205, WARRENSVILLE HEIGHTS, OH 44122-6816
(440) 953-1898
Mailing address
PO BOX 22958, CLEVELAND, OH 44122-0958
(216) 595-9600
(216) 595-9601
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
35057489
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0881247
—
OH
Enumeration date
11/29/2012
Last updated
11/29/2012
Update your record
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