Ian T. Jackson, M.D.

LBN: Ian T. Jackson, M.D.
Ian T. Jackson, M.D. is an health care organization with primary practice located at 26850 Providence Pkwy Ste 205, Novi MI 48374-1213. The organization recently has only one registered license in Ambulatory Health Care Facilities / Medical Specialty, which is considered as the primary health care specialty. Ian T. Jackson, M.D. can be contacted via phone (248) 465-5300, or through Jackson, Ian Thomas via phone (248) 465-5300.

Contact Information

Primary practice address
26850 Providence Pkwy Ste 205 Novi MI 48374-1213
Phone: (248) 465-5300
Fax: (248) 465-5301
Website:
Map and Directions
Authorized official contact:
Name: Jackson, Ian Thomas Doctor of Medicine (MD)
Phone: (248) 465-5300

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Medical Specialty 261QM2500X

Profile Details

NPI number 1649310632
LBN Legal business name Ian T. Jackson, M.D.
DBA Doing business as
Authorized official Jackson, Ian Thomas Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Feb 7th, 2007
Last updated Mar 22nd, 2010 - about 16 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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