Jackson, Matthew R

Jackson, Matthew R is an individual health care provider with primary practice located at 1225 W Front St , Traverse City MI 49684-2368. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Sports Medicine. Allopathic & Osteopathic Physicians / Sports Medicine is his primary health care specialty. Jackson, Matthew R can be contacted via phone (231) 935-0788.

Contact Information

Primary practice address
1225 W Front St Traverse City MI 49684-2368
Phone: (231) 935-0788
Fax: (231) 935-0787
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 5101018472 Michigan
Allopathic & Osteopathic Physicians / Sports Medicine 207QS0010X 34.010954 Ohio
Allopathic & Osteopathic Physicians / Sports Medicine 207QS0010X 5101018472 Michigan

Profile Details

NPI number 1588897896
LBN Legal business name Jackson, Matthew R
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 2nd, 2009
Last updated Dec 21st, 2020 - about 4 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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