Butler-Jackson, Lois Michelle

Butler-Jackson, Lois Michelle is an sole proprietor health care provider with primary practice located at 37400 Garfield Rd Suite 110, Clinton Twp MI 48036-3648. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Butler-Jackson, Lois Michelle can be contacted via phone (586) 286-6389.

Contact Information

Primary practice address
37400 Garfield Rd Suite 110 Clinton Twp MI 48036-3648
Phone: (586) 286-6389
Fax: (586) 226-0403
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 4301051182 Michigan

Profile Details

NPI number 1508846320
LBN Legal business name Butler-Jackson, Lois Michelle
Credentials MD, CWS
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 18th, 2006
Last updated Mar 16th, 2010 - about 16 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 1508846320 NPPES
Michigan Other 1106355961 BCBSM
Michigan MEDICAID 4784286 BCBSM

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