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:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1619289642 | NPPES |
| Michigan | MEDICAID | 1006466 |
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