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Contact Information

MICHAEL E JACKSON, MD
11103 KILKERRAN CT
LAS VEGAS, NV89141-4356
 Phone: 702-614-4576
 Fax: 702-614-4576
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Emergency Medicine

207P00000X 93 Physician/Emergency Medicine
Indicates primary specialty

NPI Profile & details for MICHAEL E JACKSON · (Male)

NPI Number 1437131331
Status Active
Credentials MD
Entity Individual
Enumeration date 11/16/2005
Last updated 07/08/2007 - About 19 years ago
Sole proprietor 1 No
Identifiers
  • NV License # 10306
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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