Search › California › 225100000X
Shane Jackson, DPT
NPI 1548567571 · on the registry since 2011 · sole proprietor
Practice
- Address
- 2844 Summit St
Ste 106
Oakland, CA 94609 - Phone
- (510) 788-4535
- Organisation at this address
- Barbara Yuh
Western Drug Inc
James F Vincek Dds Inc
Zahid H. Ahmed D.D.S. Inc
Advanced Foot Clinic, Inc.Inferred from a shared address, not stated in the registry. - Clinicians at this address
- 18
Registry record
- Primary taxonomy
- 225100000X
225100000X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2016-02-15
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California