Most Relevant Information
Provider Data
| NPI Number: | 1003318551 |
| Provider Name: | DANIEL S JACKMAN CDCA |
| Entity Type: | Individual |
| Taxonomy Code: | 171M00000X |
| Specialty: | Case Manager/Care Coordinator |
| License Number: |
Most Important Dates
| Enumeration Date: | 03/01/2018 |
| Last Updated: | 02/27/2019 |
Provider Practice Location
597 PARK AVE E
MANSFIELD
OH
449052848
Practice Location Phone/Fax
| Phone: | 4197743538 |
| Fax: | 4197743544 |
Provider Mailing Location
680 PARK AVE W
MANSFIELD
OH
449063706
Provider Mailing Phone/Fax
| Phone: | 4195285993 |
| Fax: | 5675605486 |