Michael Jagger
M.D. | Pediatrics | Male
Michael Jagger, M.D. is a Mishawaka, Indiana based Pediatric doctor with medical specialization in
General Pediatrics.
Current practice location of Michael Jagger is
611 E Douglas, Suite 309, Mishawaka, Indiana - 46545-1467. He can be contacted on phone at
574-252-2640 and fax number 574-252-2650.
Michael Jagger is a sole proprietor of his business.
NPI number (Unique professional ID) for Michael Jagger is
1669411807 which was assigned by NPPES on 05 Jun, 2006 and it was last updated on 02 Dec, 2009.
Michael Jagger license number is
01023464 for Pediatrics (208000000X) in Indiana.
Michael Jagger is a pediatrician who is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Complete Profile:
Michael Jagger basic information including his official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
|---|
| Provider Name : | Michael Jagger |
|---|
| Credential : | M.D. |
|---|
| Gender : | Male |
|---|
Business Address:
Michael Jagger address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 611 E Douglas, Suite 309
Mishawaka, IN, 46545-1467
United States |
|---|
| Phone Number : | 574-252-2640 |
|---|
| Fax Number : | 574-252-2650 |
|---|
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1669411807 |
|---|
| NPI Entity Type : | Individual |
|---|
| First Enrolment Date : | 05 Jun, 2006 |
|---|
| Last Updated On : | 02 Dec, 2009 |
|---|
Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Michael Jagger are as mentioned. Primary taxonomy code for Michael Jagger, M.D. is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 208000000X | Pediatrics | Yes | 01023464 | IN |
Legacy Identifiers:
Other legacy medical identifiers of Michael Jagger such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 100222270A | MEDICAID | IN | |
| 000000269222 | Other | IN | BCBS |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | Po Box 6309
South Bend, IN, 46660-6309
United States |
|---|
| Phone Number : | 574-472-6700 |
|---|
| Fax Number : | 574-472-6746 |
|---|
Business Location:
Patients can refer following map for directions to
Michael Jagger practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.