Jackson, James Lawrence

Jackson, James Lawrence is an individual health care provider with primary practice located at 400 Joseph Dr Ste B , Midland MI 48642-8636. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Jackson, James Lawrence can be contacted via phone (989) 631-2020.

Contact Information

Primary practice address
400 Joseph Dr Ste B Midland MI 48642-8636
Phone: (989) 631-2020
Fax: (989) 835-6686
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 4301050635 Michigan

Profile Details

NPI number 1427052091
LBN Legal business name Jackson, James Lawrence
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 10th, 2005
Last updated Feb 22nd, 2022 - about 2 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1427052091 NPPES
Michigan Other 1805601441 BCBS
Michigan Other 1427052091 BCBS
Michigan Other 180032321 BCBS
Michigan Other 0256160001 BCBS
Michigan Other 104430921 BCBS
Michigan MEDICAID 3103914 BCBS

Popular Providers