Jackson, Donald

Jackson, Donald is an individual health care provider with primary practice located at 2500 E Grand Blvd Medical Dept, Detroit MI 48211-2006. He recently has only one registered license in Allopathic & Osteopathic Physicians / Occupational Medicine, which is considered as his primary health care specialty. Jackson, Donald can be contacted via phone (313) 972-6202.

Contact Information

Primary practice address
2500 E Grand Blvd Medical Dept Detroit MI 48211-2006
Phone: (313) 972-6202
Fax: (313) 972-6094
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Occupational Medicine 2083X0100X 43010441496 Michigan

Profile Details

NPI number 1700200086
LBN Legal business name Jackson, Donald
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 7th, 2014
Last updated Feb 7th, 2014 - about 11 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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