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:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1306828009 | NPPES |
| Michigan | Other | 110030846 | RAILROAD MEDICARE |
| Michigan | Other | 381358036011 | RAILROAD MEDICARE |
| Michigan | MEDICAID | 3138366 | RAILROAD MEDICARE |
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