Philip Jackson
M.D. | Pediatrics | Male
Philip Jackson, M.D. is a Inkster, Michigan based Pediatric doctor with medical specialization in
General Pediatrics.
Current practice location of Philip Jackson is
2500 Hamlin Dr, Inkster, Michigan - 48141-2348. He can be contacted on phone at
313-561-5100 and fax number 313-565-0309.
Philip Jackson is a sole proprietor of his business.
NPI number (Unique professional ID) for Philip Jackson is
1437174638 which was assigned by NPPES on 12 Jul, 2006 and it was last updated on 21 Oct, 2009.
Philip Jackson license number is
4301025901 for Pediatrics (208000000X) in Michigan.
Philip 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:
Philip Jackson basic information including his official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
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| Provider Name : | Philip Jackson |
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| Credential : | M.D. |
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| Gender : | Male |
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Business Address:
Philip 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 : | 2500 Hamlin Dr
Inkster, MI, 48141-2348
United States |
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| Phone Number : | 313-561-5100 |
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| Fax Number : | 313-565-0309 |
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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 : | 1437174638 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 12 Jul, 2006 |
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| Last Updated On : | 21 Oct, 2009 |
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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 Philip Jackson are as mentioned. Primary taxonomy code for Philip Jackson, M.D. is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 208000000X | Pediatrics | Yes | 4301025901 | MI |
Legacy Identifiers:
Other legacy medical identifiers of Philip Jackson such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 1020381 | Other | MI | MCLAREN HEALTH PLAN HAN |
| 17572 | Other | MI | MCARE MMMI |
| 350D410030 | Other | MI | BCBS MMMI |
| 350D410030 | Other | MI | BCN BLUE CHOICE FENTON |
| 1437174638 | Other | MI | NPI |
| 4859153 | MEDICAID | MI | |
| 0994622 | Other | MI | HEALTH PLUS MMMI |
| 700H228520 | Other | MI | BCBSM |
| 4737508 | 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 : | 26650 Eureka Rd, Suite C-1
Taylor, MI, 48180-4835
United States |
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| Phone Number : | 734-941-4991 |
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| Fax Number : | 734-941-4919 |
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Business Location:
Patients can refer following map for directions to
Philip 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.