Jackson, Miles

Jackson, Miles is an individual health care provider with primary practice located at 300 W Washington Ave Ste 300 , Jackson MI 49201-2160. He recently has 3 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Vascular Surgery, Allopathic & Osteopathic Physicians / Surgery. Allopathic & Osteopathic Physicians / Vascular Surgery is his primary health care specialty. Jackson, Miles can be contacted via phone (517) 205-1305.

Contact Information

Primary practice address
300 W Washington Ave Ste 300 Jackson MI 49201-2160
Phone: (517) 205-1305
Fax: (313) 876-1305
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Vascular Surgery 2086S0129X 4301508401 Michigan
Allopathic & Osteopathic Physicians / Surgery 208600000X 4301508401 Michigan

Profile Details

NPI number 1336515295
LBN Legal business name Jackson, Miles
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 14th, 2015
Last updated Dec 16th, 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.

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