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Contact Information

JACKSON FAMILY MEDICAL
724 W FRANKLIN ST
JACKSON, MI49201-2008
 Phone: 517-784-3100
 Fax: 517-784-3200
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

General Practice

208D00000X 99 Physician/Undefined Physician type[6]
 

Geriatric Medicine

207QG0300X 08 Physician/Family Practice
 

Internal Medicine

207R00000X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for JACKSON FAMILY MEDICAL

NPI # 1972873800
LBN Legal business name JACKSON FAMILY MEDICAL
Authorized official TAMMY CREGER - (BILLING SPECIALIST)
Entity Organization
Organization subpart 1 No
Enumeration date 01/10/2012
Last updated 01/10/2012 - About 14 years ago
Identifiers
MI License # GL010466
MI License # JA011504
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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