Jackson, Michael Vincent

Jackson, Michael Vincent is an individual health care provider with primary practice located at 236 W 6Th St Ste 100, Reno NV 89503-4517. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Critical Care Medicine, Allopathic & Osteopathic Physicians / Pulmonary Disease, Allopathic & Osteopathic Physicians / Sleep Medicine. Allopathic & Osteopathic Physicians / Sleep Medicine is his primary health care specialty. Jackson, Michael Vincent can be contacted via phone (775) 982-5000.

Contact Information

Primary practice address
236 W 6Th St Ste 100 Reno NV 89503-4517
Phone: (775) 982-5000
Fax: (775) 982-3900
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Critical Care Medicine 207RC0200X 4867 Nevada
Allopathic & Osteopathic Physicians / Pulmonary Disease 207RP1001X 4867 Nevada
Allopathic & Osteopathic Physicians / Sleep Medicine 207RS0012X 4867 Nevada

Profile Details

NPI number 1487637922
LBN Legal business name Jackson, Michael Vincent
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 29th, 2005
Last updated Dec 20th, 2017 - about 9 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 1487637922 NPPES
Nevada MEDICAID 002016249

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