Jackson, Michael B.

Jackson, Michael B. is an sole proprietor health care provider with primary practice located at 80 River St 3D, Hoboken NJ 07030-5626. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Forensic Psychiatry, Allopathic & Osteopathic Physicians / Psychiatry. Allopathic & Osteopathic Physicians / Psychiatry is his primary health care specialty. Jackson, Michael B. can be contacted via phone (201) 244-7799.

Contact Information

Primary practice address
80 River St 3D Hoboken NJ 07030-5626
Phone: (201) 244-7799
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Forensic Psychiatry 2084F0202X 25MA08023100 New Jersey
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 25MA08023100 New Jersey
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 234087 New York

Profile Details

NPI number 1073600896
LBN Legal business name Jackson, Michael B.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 5th, 2006
Last updated Sep 10th, 2019 - about 5 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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