Jackson, Michael
Jackson, Michael is an individual health care provider with primary practice located at 660 1St Ave 7Th Fl., New York NY 10016-3214. He recently has only one registered license in Speech, Language and Hearing Service Providers / Audiologist, which is considered as his primary health care specialty. Jackson, Michael can be contacted via phone (212) 263-7567.Contact Information
Primary practice address
660 1St Ave 7Th Fl.
New York NY 10016-3214
Phone: (212) 263-7567
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Speech, Language and Hearing Service Providers / Audiologist | 231H00000X | 001902 | New York |
Profile Details
| NPI number | 1538155973 |
|---|---|
| LBN Legal business name | Jackson, Michael |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 21st, 2005 |
| Last updated | Jul 8th, 2007 - about 19 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1538155973 | NPPES |
| New York | MEDICAID | PENDING |
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