Pediatric Center Of Jackson
Pediatrics
Pediatric Center Of Jackson is a Jackson, Michigan based Pediatric center with medical specialization in
General Pediatrics.
It is located at
1418 E Michigan Ave, Jackson, Michigan - 49202-3518. They can be contacted on phone at
517-783-1779 and fax number 517-783-1899.
NPI number (Unique professional ID) for Pediatric Center Of Jackson is
1659523876 which was assigned by NPPES on 21 Oct, 2008 and it was last updated on 21 Oct, 2008.
Pediatric Center Of Jackson license number is
SS068721 for Pediatrics (208000000X) in Michigan.
Pediatric Center Of Jackson 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:
Pediatric Center Of Jackson basic information including their official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
|---|
| Provider Name : | Pediatric Center Of Jackson |
|---|
Business Address:
Pediatric Center Of Jackson 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 : | 1418 E Michigan Ave
Jackson, MI, 49202-3518
United States |
|---|
| Phone Number : | 517-783-1779 |
|---|
| Fax Number : | 517-783-1899 |
|---|
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 : | 1659523876 |
|---|
| NPI Entity Type : | Organization |
|---|
| First Enrolment Date : | 21 Oct, 2008 |
|---|
| Last Updated On : | 21 Oct, 2008 |
|---|
Authorized Official Details:
Officially authorized person to contact for any management issues or complaints of this organization are as below. Person's position and contact details are as mentioned below.
| Authorized Official Name : | Souhas Hakim |
|---|
| Authorized Official Credential : | M.D. |
|---|
| Official Title or Position : | OWNER |
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| Phone Number : | 517-783-1779 |
|---|
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 Pediatric Center Of Jackson are as mentioned. Primary taxonomy code for Pediatric Center Of Jackson is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 208000000X | Pediatrics | Yes | SS068721 | MI |
Legacy Identifiers:
Other legacy medical identifiers of Pediatric Center Of Jackson such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 104499710 | MEDICAID | MI | |
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 : | 1418 E Michigan Ave
Jackson, MI, 49202-3518
United States |
|---|
| Phone Number : | 517-783-1779 |
|---|
| Fax Number : | 517-783-1899 |
|---|
Business Location:
Patients can refer following map for directions to
Pediatric Center Of Jackson practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.