Hershel Jackson in Detroit - Endocrinology, Diabetes & Metabolism

Hershel Jackson - NPI 1023153178

Hershel Jackson is a Endocrinology, Diabetes & Metabolism in Detroit, Michigan. Hershel Jackson practices all healthcare services and medical treatments related to Endocrinology, Diabetes & Metabolism. The NPI Number for Hershel Jackson is 1023153178. The last update date is 2007-07-08.

Hershel Jackson's current location address is 3990 John R St, Detroit, Michigan. You can contact this provider via phone number 3137458040. The mailing address for Hershel Jackson is 3990 John R St, Detroit, Michigan. To know further, please read the information below!

Provider Profile Detail

Provider Name Hershel Jackson
Address 3990 John R St, Detroit, Michigan
Phone Number 3137458040
Fax Number
Sole Proprietor N
Credentials MD

NPI Number Detail

NPI Number 1023153178
Provider Enumeration Date 2007-02-20
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 3990 John R St
City Detroit
State Michigan (MI)
Post Code 482012018
Phone Number 3137458040
Fax Number

Provider's Primary Taxonomy Detail

Speciality Endocrinology, Diabetes & Metabolism
Taxonomy 207Re0101X
Licence No 4301043930
Definition:
An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and men

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FAQs about Hershel Jackson

What is the unique 10-digit identification code assigned to Hershel Jackson by the Centers for Medicare & Medicaid Services?

The Hershel Jackson has been issued the NPI (National Provider Identifier) 1023153178, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you please provide the complete street address where Hershel Jackson is physically located?

The Hershel Jackson is physically situated at the following address: 3990 John R St, Detroit, MI, 482012018.

What is Hershel Jackson's area of expertise and its corresponding taxonomy classification?

The Hershel Jackson's field of specialization is Endocrinology, Diabetes & Metabolism, and it falls under the taxonomy code 207Re0101X, which categorizes healthcare providers based on their areas of practice.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1023153178 to Hershel Jackson?

The Centers for Medicare & Medicaid Services originally issued the 1023153178 to Hershel Jackson on 2007-02-20.

As of what date were the Hershel Jackson's details last updated?

The information pertaining to the Hershel Jackson, including its address, specialty, and other details, was most recently updated on 2007-07-08.

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