DR. MD Michael L Jackson, NPI 1609987494
Emergency Medicine Physician in Seymour, IN, US

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NPI number: what is it?

The NPI, or National Provider Identifier, is a non-repeatable number for health care providers. The NPI always consists of 10 digits and is used for administrative and financial procedures. The NPI wa...

NPI 1609987494
NPI Entity Type Individual
Provider Name DR. MD Michael L Jackson
Enumeration Date September 30, 2009
Last Update Date September 30, 2009
Provider Location Address 411 W Tipton St, Seymour, IN, US
Provider Mailing Address 1155 W 3rd St, Bloomington, IN, US, 474045016
Is Sole Proprietor? No
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Primary Taxonomy

Taxonomy Code

207P00000X

Taxonomy Name Emergency Medicine Physician
Classification

Emergency Medicine

Group

Allopathic & Osteopathic Physicians

License No. 01032507A
License State IN
Description An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

Business Address

DR. MD Michael L Jackson
411 W Tipton St

Seymour, IN, US

Phone: 812-522-2349

Mailing Address

DR. MD Michael L Jackson
1155 W 3rd St
Bloomington, IN, US
ZIP 474045016
Phone: 812-336-1690
Fax: 812-349-1311

Other Identifiers

Identifier Identifier State Identifier Issuer Type/Code
100331130 IN MEDICAID 05
01032507B IN CSR 01
01032507A IN IN LICENSE 01
AJ2126539 DEA 01

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