Ian T. Jackson, M.D. in Novi - Medical Specialty
Ian T. Jackson, M.D. - NPI 1649310632
Ian T. Jackson, M.D. is a Medical Specialty in Novi, Michigan. Ian T. Jackson, M.D. practices all healthcare services and medical treatments related to Medical Specialty. The NPI Number for Ian T. Jackson, M.D. is 1649310632. The last update date is 2010-03-22.
Ian T. Jackson, M.D.'s current location address is 26850 Providence Pkwy, Novi, Michigan. You can contact this provider via phone number 2484655300 and fax number 2484655301. The mailing address for Ian T. Jackson, M.D. is 26850 Providence Pkwy, Novi, Michigan. To know further, please read the information below!
Provider Profile Detail
Provider Organization | Ian T. Jackson, M.D. |
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Address | 26850 Providence Pkwy, Novi, Michigan |
Phone Number | 2484655300 |
Fax Number | 2484655301 |
Sole Proprietor | -- |
Credentials | -- |
Authorized Official
Title or Position | PHYSICANDI |
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Authorized Official Name | Jackson Thomas Ian |
Credentials | M.D. |
Telephone Number | 2484655300 |
NPI Number Detail
NPI Number | 1649310632 |
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Provider Enumeration Date | 2007-02-07 |
Last Updated Date | 2010-03-22 |
Provider Mailing Address Detail
Address | 26850 Providence Pkwy |
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City | Novi |
State | Michigan (MI) |
Post Code | 483741213 |
Phone Number | 2484655300 |
Fax Number | 2484655301 |
Provider's Primary Taxonomy Detail
Speciality | Medical Specialty |
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Taxonomy | 261Qm2500X |
Definition: An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific |
Post Comment/ Review Below
What is the unique provider identifier assigned to Ian T. Jackson, M.D.?
The Ian T. Jackson, M.D. has been issued the NPI (National Provider Identifier) 1649310632 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please provide the complete physical location address of Ian T. Jackson, M.D.?
The Ian T. Jackson, M.D. is physically situated at 26850 Providence Pkwy, in the city of Novi, state of MI, with the postal code 483741213.
What is Ian T. Jackson, M.D.'s area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Ian T. Jackson, M.D. is Medical Specialty, and the taxonomy code that categorizes this field of expertise is 261Qm2500X.
On what date did Ian T. Jackson, M.D. receive its 1649310632 assignment from the Centers for Medicare & Medicaid Services?
The Ian T. Jackson, M.D. was assigned its 1649310632 on 2007-02-07, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details pertaining to Ian T. Jackson, M.D. last refreshed?
The information related to the Ian T. Jackson, M.D., including its address, specialty, and other relevant details, was last updated on 2010-03-22.