James Jackson D.O., P.C.

LBN: James Jackson D.O., P.C.
James Jackson D.O., P.C. is an health care organization with primary practice located at 2416 Peck Street James Jackson D.O., P.C., Muskegon Hts. MI 49444. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / General Practice. Allopathic & Osteopathic Physicians / Family Medicine is the primary health care specialty. James Jackson D.O., P.C. can be contacted via phone (231) 739-5574, or through Jackson, James via phone 23173955574.

Contact Information

Primary practice address
2416 Peck Street James Jackson D.O., P.C. Muskegon Hts. MI 49444
Phone: (231) 739-5574
Fax: (231) 739-5574
Website:
Map and Directions
Authorized official contact:
Name: Jackson, James Doctor of Osteopathy (DO)
Phone: 23173955574

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X JJ004758 Michigan
Allopathic & Osteopathic Physicians / General Practice 208D00000X 5101004758 Michigan

Profile Details

NPI number 1619289642
LBN Legal business name James Jackson D.O., P.C.
DBA Doing business as
Authorized official Jackson, James Doctor of Osteopathy (DO)
Entity Organization
Organization subpart 1 No
Enumeration date Jul 7th, 2010
Last updated Oct 8th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1619289642 NPPES
Michigan MEDICAID 1006466

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