Jacewicz, Michael

Jacewicz, Michael is an individual health care provider with primary practice located at 1211 Union Ave Ste 200, Memphis TN 38104-6638. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as his primary health care specialty. Jacewicz, Michael can be contacted via phone (901) 259-5340.

Contact Information

Primary practice address
1211 Union Ave Ste 200 Memphis TN 38104-6638
Fax: (901) 259-5300
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurology 2084N0400X MD22223 Tennessee

Profile Details

NPI number 1427032150
LBN Legal business name Jacewicz, Michael
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 6th, 2005
Last updated Feb 21st, 2008 - 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 1427032150 NPPES
Tennessee MEDICAID 3067379

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