Leja Jackson Inc

LBN: Leja Jackson Inc
Leja Jackson Inc is an health care organization with primary practice located at 920 S Huron St , Cheboygan MI 49721-2267. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. Leja Jackson Inc can be contacted via phone (231) 597-8192, or through Leja, Loretta M via phone (231) 597-8192.

Contact Information

Primary practice address
920 S Huron St Cheboygan MI 49721-2267
Phone: (231) 597-8192
Fax: (231) 597-8463
Website:
Map and Directions
Authorized official contact:
Name: Leja, Loretta M Doctor of Medicine (MD)
Phone: (231) 597-8192

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 4301042693 Michigan

Profile Details

NPI number 1235209099
LBN Legal business name Leja Jackson Inc
DBA Doing business as
Authorized official Leja, Loretta M Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Nov 9th, 2006
Last updated May 6th, 2013 - about 13 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1235209099 NPPES
Michigan MEDICAID 4559907

Popular Providers