Leja Jackson Inc in Cheboygan - Family Medicine
Leja Jackson Inc - NPI 1235209099
Leja Jackson Inc is a Family Medicine in Cheboygan, Michigan. Leja Jackson Inc practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Leja Jackson Inc is 1235209099. The last update date is 2013-05-06.
Leja Jackson Inc's current location address is 920 S Huron St, Cheboygan, Michigan. You can contact this provider via phone number 2315978192 and fax number 2315978463. The mailing address for Leja Jackson Inc is 920 S Huron St, Cheboygan, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Leja Jackson Inc |
|---|---|
| Address | 920 S Huron St, Cheboygan, Michigan |
| Phone Number | 2315978192 |
| Fax Number | 2315978463 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Leja M Loretta |
| Credentials | M D |
| Telephone Number | 2315978192 |
NPI Number Detail
| NPI Number | 1235209099 |
|---|---|
| Provider Enumeration Date | 2006-11-09 |
| Last Updated Date | 2013-05-06 |
Provider Mailing Address Detail
| Address | 920 S Huron St |
|---|---|
| City | Cheboygan |
| State | Michigan (MI) |
| Post Code | 497212267 |
| Phone Number | 2315978192 |
| Fax Number | 2315978463 |
Provider's Primary Taxonomy Detail
| Speciality | Family Medicine |
|---|---|
| Taxonomy | 207Q00000X |
| Licence No | 4301042693 |
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Definition: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 4559907 | MI | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Leja Jackson Inc by the Centers for Medicare & Medicaid Services?
The Leja Jackson Inc has been assigned the NPI (National Provider Identifier) 1235209099 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you provide the complete address where Leja Jackson Inc is physically located?
The Leja Jackson Inc is situated at the following address: 920 S Huron St, Cheboygan, MI 497212267.
What is the Leja Jackson Inc's specialty and taxonomy code?
The Leja Jackson Inc's specialty is Family Medicine, and the corresponding taxonomy code is 207Q00000X.
When was the Leja Jackson Inc's 1235209099 issued?
The Leja Jackson Inc's 1235209099 was issued on 2006-11-09.
When was the information pertaining to Leja Jackson Inc most recently updated or revised?
The details related to Leja Jackson Inc, including its address, specialty, and other relevant information, were last updated or revised on 2013-05-06.