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
Fax: (248) 290-5401
Website:

Health care specialties

SpecialtyCodeLicense #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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