Jaecklein, Frederick P

Jaecklein, Frederick P is an individual health care provider with primary practice located at 1414 W. Fair Avenue Ste 201, Marquette MI 49855. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Hematology, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Jaecklein, Frederick P can be contacted via phone (906) 225-4500.

Contact Information

Primary practice address
1414 W. Fair Avenue Ste 201 Marquette MI 49855
Phone: (906) 225-4500
Fax: (906) 225-3919
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hematology 207RH0000X 049842 Michigan
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 049842 Michigan

Profile Details

NPI number 1306828009
LBN Legal business name Jaecklein, Frederick P
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 17th, 2005
Last updated Jun 4th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1306828009 NPPES
Michigan Other 110030846 RAILROAD MEDICARE
Michigan Other 381358036011 RAILROAD MEDICARE
Michigan MEDICAID 3138366 RAILROAD MEDICARE

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