Jackson, James D.

Jackson, James D. is an sole proprietor health care provider with primary practice located at 101 S Front St Suite 201, Marquette MI 49855-4641. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Jackson, James D. can be contacted via phone (906) 228-9070.

Contact Information

Primary practice address
101 S Front St Suite 201 Marquette MI 49855-4641
Phone: (906) 228-9070
Fax: (906) 228-9420
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 2901009754 Michigan

Profile Details

NPI number 1568517944
LBN Legal business name Jackson, James D.
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 24th, 2007
Last updated Jul 8th, 2007 - about 18 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 1568517944 NPPES
Michigan MEDICAID 2662758

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