Mark A Jackson in Traverse City - Geriatric Medicine
Mark A Jackson - NPI 1073585238
Mark A Jackson is a Geriatric Medicine in Traverse City, Michigan. Mark A Jackson practices all healthcare services and medical treatments related to Geriatric Medicine. The NPI Number for Mark A Jackson is 1073585238. The last update date is 2015-10-23.
Mark A Jackson's current location address is 1000 Pavilions Circle, Traverse City, Michigan. You can contact this provider via phone number 2319350913 and fax number 2319350984. The mailing address for Mark A Jackson is 1000 Pavilions Circle, Traverse City, Michigan. To know further, please read the information below!
Provider Profile Detail
Provider Name | Mark A Jackson |
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Address | 1000 Pavilions Circle, Traverse City, Michigan |
Phone Number | 2319350913 |
Fax Number | 2319350984 |
Sole Proprietor | Y |
Credentials | MD |
NPI Number Detail
NPI Number | 1073585238 |
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Provider Enumeration Date | 2006-02-02 |
Last Updated Date | 2015-10-23 |
Provider Mailing Address Detail
Address | 1000 Pavilions Circle |
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City | Traverse City |
State | Michigan (MI) |
Post Code | 49684 |
Phone Number | 2319350913 |
Fax Number | 2319350984 |
Provider's Primary Taxonomy Detail
Speciality | Geriatric Medicine |
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Taxonomy | 207Qg0300X |
Licence No | 4301051555 |
Definition: A family medicine physician with special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
---|---|---|---|
1820487 | MI | -- | |
080B86010 | MA | BLUE SHIELD |
Post Comment/ Review Below
What is the Mark A Jackson's unique identification number?
The Mark A Jackson has been assigned the NPI (National Provider Identifier) Number 1073585238 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Where is the Mark A Jackson located?
The Mark A Jackson is located at 1000 Pavilions Circle, Traverse City, MI 49684.
What is Mark A Jackson's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Mark A Jackson is Geriatric Medicine, and the taxonomy classification code that categorizes this area of expertise is 207Qg0300X.
On what date did the Centers for Medicare & Medicaid Services issue the 1073585238 to Mark A Jackson?
The Mark A Jackson received its 1073585238 assignment from the Centers for Medicare & Medicaid Services on 2006-02-02.
When was the information regarding Mark A Jackson, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Mark A Jackson, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2015-10-23.
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