Shackson, James B

Shackson, James B is an individual health care provider with primary practice located at 4400 Easton Cmns Ste 125 , Columbus OH 43219-6223. He recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as his primary health care specialty. Shackson, James B can be contacted via phone (574) 546-1900.

Contact Information

Primary practice address
4400 Easton Cmns Ste 125 Columbus OH 43219-6223
Phone: (574) 546-1900
Fax: (574) 546-1999
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X C1406 Kentucky
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 35-062208 Ohio
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 67932 Tennessee

Profile Details

NPI number 1831185545
LBN Legal business name Shackson, James B
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 27th, 2005
Last updated Oct 3rd, 2023 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1831185545 NPPES
Ohio MEDICAID 0934725
Ohio Other DF6496

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