Jackson, Heidi

Jackson, Heidi is an individual health care provider with primary practice located at 1700 Clinton St , Muskegon MI 49442-5502. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Jackson, Heidi can be contacted via phone (231) 728-5692.

Contact Information

Primary practice address
1700 Clinton St Muskegon MI 49442-5502
Phone: (231) 728-5692
Fax: (231) 728-4017
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 5601004005 Michigan

Profile Details

NPI number 1467486340
LBN Legal business name Jackson, Heidi
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 10th, 2006
Last updated Oct 8th, 2015 - about 11 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 1467486340 NPPES
Michigan Other MI1763007 MEDICARE

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