Philip Jackson, M.D.

Pediatrics Physician · Inkster, MI

Individual Active NPI

NPI number 1437174638

Practice location

2500 Hamlin Dr
Inkster, MI 48141-2348
Phone
(313) 561-5100
Fax
(313) 565-0309

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NPI record

NPI
1437174638
Entity type
Individual (Type 1)
Enumeration date
July 12, 2006
Last updated
October 21, 2009
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Pediatrics Physician Primary 208000000X 4301025901 MI

Mailing address

26650 Eureka Rd
Suite C-1
Taylor, MI 48180-4835
Phone
(734) 941-4991
Fax
(734) 941-4919

About Dr. Jackson

Philip Jackson, M.D. is a healthcare provider registered in the NPI registry with the primary taxonomy Pediatrics Physician (code 208000000X). The practice location is 2500 Hamlin Dr, Inkster, MI 48141-2348. The NPI number 1437174638 was assigned on July 12, 2006 and the record was last updated on October 21, 2009.

Dr. Jackson lists a license in the registry: #4301025901 (MI) for Pediatrics Physician. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Philip Jackson, M.D.?

The NPI number is 1437174638.

What is the phone number of Dr. Jackson?

The phone number listed for the practice location is (313) 561-5100.

Where is Dr. Jackson located?

2500 Hamlin Dr, Inkster, MI 48141-2348.

What is the taxonomy code for Dr. Jackson?

The primary taxonomy code is 208000000X – Pediatrics Physician.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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