Axelson, John

Axelson, John is an individual health care provider with primary practice located at 1100 E Michigan Ave Ste 201, Jackson MI 49201-1847. He recently has only one registered license in Allopathic & Osteopathic Physicians / Hematology & Oncology, which is considered as his primary health care specialty. Axelson, John can be contacted via phone (517) 789-7122.

Contact Information

Primary practice address
1100 E Michigan Ave Ste 201 Jackson MI 49201-1847
Phone: (517) 789-7122
Fax: (517) 789-5229
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hematology & Oncology 207RH0003X JA037999 Michigan

Profile Details

NPI number 1255306429
LBN Legal business name Axelson, John
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 21st, 2006
Last updated Mar 6th, 2008 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1255306429 NPPES
Michigan Other JA037999 STATE LICENSE
Michigan MEDICAID 4618070 STATE LICENSE

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