Lanphear, Jackson R

Lanphear, Jackson R is an individual health care provider with primary practice located at 100 Michigan St Ne , Grand Rapids MI 49503-2560. He recently has 4 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / Emergency Medical Services, Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Anesthesiology. Allopathic & Osteopathic Physicians / Emergency Medicine is his primary health care specialty. Lanphear, Jackson R can be contacted via phone (616) 391-1680.

Contact Information

Primary practice address
100 Michigan St Ne Grand Rapids MI 49503-2560
Phone: (616) 391-1680
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 4301090706 Michigan
Allopathic & Osteopathic Physicians / Emergency Medical Services 207PE0004X 4301090706 Michigan
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 4301090706 Michigan
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 4301090706 Michigan

Profile Details

NPI number 1326230186
LBN Legal business name Lanphear, Jackson R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 15th, 2007
Last updated Jun 22nd, 2012 - about 14 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 1326230186 NPPES
Michigan Other 4301090706 DEPT. OF COMMUNITY HEALTH

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