Jackson, Richard
Jackson, Richard is an sole proprietor health care provider with primary practice located at E 4111 Andover Road Suite 220 , Bloomfield Hills MI 48302. He recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as his primary health care specialty. Jackson, Richard can be contacted via phone (248) 290-5400.Contact Information
Primary practice address
E 4111 Andover Road Suite 220
Bloomfield Hills MI 48302
Phone: (248) 290-5400
Fax: (248) 290-5401
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | 4301407129 | Michigan |
Profile Details
| NPI number | 1508081993 |
|---|---|
| LBN Legal business name | Jackson, Richard |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 13th, 2007 |
| Last updated | Jul 8th, 2007 - about 17 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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