Terry S Jackson in Petoskey - Internal Medicine
Terry S Jackson - NPI 1932106234
Terry S Jackson is a Internal Medicine in Petoskey, Michigan. Terry S Jackson practices all healthcare services and medical treatments related to Internal Medicine. The NPI Number for Terry S Jackson is 1932106234. The last update date is 2007-07-08.
Terry S Jackson's current location address is 560 W Mitchell St, Petoskey, Michigan. You can contact this provider via phone number 2314872460 and fax number 2314876596. The mailing address for Terry S Jackson is 560 W Mitchell St, Petoskey, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Terry S Jackson |
|---|---|
| Address | 560 W Mitchell St, Petoskey, Michigan |
| Phone Number | 2314872460 |
| Fax Number | 2314876596 |
| Sole Proprietor | N |
| Credentials | D.O. |
NPI Number Detail
| NPI Number | 1932106234 |
|---|---|
| Provider Enumeration Date | 2005-06-30 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 560 W Mitchell St |
|---|---|
| City | Petoskey |
| State | Michigan (MI) |
| Post Code | 497702275 |
| Phone Number | 2314872460 |
| Fax Number | 2314876596 |
Provider's Primary Taxonomy Detail
| Speciality | Internal Medicine |
|---|---|
| Taxonomy | 207R00000X |
| Licence No | 5101012250 |
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Definition: A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and di |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 114085703 | MI | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Terry S Jackson by the Centers for Medicare & Medicaid Services?
The Terry S Jackson has been issued the NPI (National Provider Identifier) 1932106234, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Where is the Terry S Jackson located?
The Terry S Jackson is located at 560 W Mitchell St, Petoskey, MI 497702275.
What is Terry S Jackson's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Terry S Jackson is Internal Medicine, and the corresponding taxonomy classification code for this specialized field is 207R00000X.
When did Terry S Jackson receive its 1932106234 assignment?
The Terry S Jackson was assigned its 1932106234 on 2005-06-30, which is the date when this unique identifier was issued to the organization.
When was the information regarding Terry S Jackson most recently updated?
The details pertaining to the Terry S Jackson, including its address, specialty, and other relevant information, were last refreshed on 2007-07-08.
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