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IEP OBSERVATION MEDICINE - JACKSON PLLC NPI 1982478251


NPI Information

NPI: 1982478251
Provider Name: IEP OBSERVATION MEDICINE - JACKSON PLLC
Classification: Emergency Medicine - 207PE0004X
Entity Type: Organization

Specialization: Emergency Medical Services

Address:
205 N EAST AVE
JACKSON, MI
ZIP 49201
Phone: (248) 536-2127
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IEP OBSERVATION MEDICINE - JACKSON PLLC is an emergency medical services emergency medicine in Jackson, MI. The provider is an emergency medicine physician who specializes in non-hospital based emergency medical services (e.g., disaster site, accident scene, transport vehicle, etc.) to provide pre-hospital assessment, treatment, and transport patients. IEP OBSERVATION MEDICINE - JACKSON PLLC NPI is 1982478251. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

205 N EAST AVE
JACKSON, MI
ZIP 49201-753
Phone: (248) 536-2127
Fax: (248) 893-6952

The provider's authorized official is David Gerald Hall .
The authorized official title is Manager and has the following contact phone number (248) 536-2127.

The enumeration date for this NPI number is 11/8/2023 and was last updated on 11/8/2023.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207PE0004XEmergency MedicineEmergency Medical ServicesYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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