Jackson, Philip

Jackson, Philip is an individual health care provider with primary practice located at 2500 Hamlin Dr , Inkster MI 48141-2348. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Jackson, Philip can be contacted via phone (313) 561-5100.

Contact Information

Primary practice address
2500 Hamlin Dr Inkster MI 48141-2348
Phone: (313) 561-5100
Fax: (313) 565-0309
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 4301025901 Michigan

Profile Details

NPI number 1437174638
LBN Legal business name Jackson, Philip
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 12th, 2006
Last updated Oct 21st, 2009 - about 16 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1437174638 NPPES
Michigan Other 1020381 MCLAREN HEALTH PLAN HAN
Michigan Other 17572 MCLAREN HEALTH PLAN HAN
Michigan Other 350D410030 MCLAREN HEALTH PLAN HAN
Michigan Other 700H228520 MCLAREN HEALTH PLAN HAN
Michigan MEDICAID 4737508 MCLAREN HEALTH PLAN HAN
Michigan Other 1437174638 MCLAREN HEALTH PLAN HAN
Michigan MEDICAID 4859153 MCLAREN HEALTH PLAN HAN
Michigan Other 0994622 MCLAREN HEALTH PLAN HAN
Michigan Other 350D410030 MCLAREN HEALTH PLAN HAN

Popular Providers