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Contact Information

GERALDINE JACKSON, MD
HENRY FORD HEALTH SYSTEM
19401 HUBBARD DRIVE
DEARBORN, MI48126
 Phone: 313-982-8330
 Fax: 313-982-8294
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Obstetrics & Gynecology

207V00000X 16 Physician/Obstetrics & Gynecology
Indicates primary specialty

NPI Profile & details for GERALDINE JACKSON · (Female)

NPI Number 1083781454
Status Active
Credentials MD
Entity Individual
Enumeration date 11/29/2006
Last updated 07/08/2007 - About 19 years ago
Sole proprietor 1 No
Identifiers
  • MI License # 056010
  • Other GJ056010 CHAMPUS-CHAMPUS
  • Other GJ056010 COMMERCIAL-COMMERCIAL NUMBER
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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