Madison, Jacqueline Anne

Madison, Jacqueline Anne is an individual health care provider with primary practice located at 1500 E Medical Center Dr , Ann Arbor MI 48109-5000. She recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Pediatric Rheumatology. Allopathic & Osteopathic Physicians / Pediatric Rheumatology is her primary health care specialty. Madison, Jacqueline Anne can be contacted via phone (734) 936-4000.

Contact Information

Primary practice address
1500 E Medical Center Dr Ann Arbor MI 48109-5000
Phone: (734) 936-4000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X 4301102653 Michigan
Allopathic & Osteopathic Physicians / Pediatric Rheumatology 2080P0216X 4301102653 Michigan

Profile Details

NPI number 1255777520
LBN Legal business name Madison, Jacqueline Anne
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date May 14th, 2013
Last updated Dec 21st, 2022 - about 3 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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