Jackson'S Preferred Rehab
LBN: Jackson'S Preferred Rehab
Jackson'S Preferred Rehab is an health care organization with primary practice located at 110 E Michigan Ave , Grass Lake MI 49240-9680. The organization recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as the primary health care specialty.
Jackson'S Preferred Rehab can be contacted via phone (517) 745-3161, or through Kunchappa, Karthyayani via phone (517) 745-3161.
Contact Information
Primary practice address
110 E Michigan Ave
Grass Lake MI 49240-9680
Phone: (517) 745-3161
Fax:
Website:
Authorized official contact:
Name: Kunchappa, Karthyayani Physical Therapist (PT)
Phone: (517) 745-3161
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | 5501007396 | Michigan |
Profile Details
| NPI number | 1609998954 |
|---|---|
| LBN Legal business name | Jackson'S Preferred Rehab |
| DBA Doing business as | |
| Authorized official | Kunchappa, Karthyayani Physical Therapist (PT) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Apr 6th, 2007 |
| Last updated | May 21st, 2012 - about 12 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1609998954 | NPPES |
| Michigan | Other | 65C807050 | BLUE CROSS |
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