Dr. Desmond Alexander Jackson
Internist Rheumatology and 1 more
501 S Drake Rd
Kalamazoo
, Michigan 49009-3234
Dr. Desmond Alexander Jackson
Internist Rheumatology and 1 more
501 S Drake Rd
Kalamazoo
, Michigan 49009-3234
(269) 344-5552
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About
Features
Specialties
- Internist
- Rheumatology
Languages spoken
- English
Location
First Address
- Dr. Desmond Alexander Jackson
- 501 S Drake Rd
- Kalamazoo, MI
- Zip : 49009-3234
- Phone : (269) 344-5552
Second Address
- Dr. Desmond Alexander Jackson
- 501 S Drake Rd
- Kalamazoo, MI
- Zip : 49009-3234
- Phone : (269) 344-5552
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 207R00000X | Internist | 4301103154 | MI |
| N | 111NI0900X | Internist | 4301103154 | MI |
| N | 207R00000X | Internist | 57.027945 | OH |
| N | 111NI0900X | Internist | 57.027945 | OH |
| N | 207RR0500X | Rheumatology | 430110154 | MI |
| Y | 207RR0500X | Rheumatology | 4301103154 | MI |
| N | 207RR0500X | Rheumatology | 430113154 | MI |
National Provider Identifier
| NPI | 1043650765 |
|---|---|
| Provider Name | Dr. Desmond Alexander Jackson |
| First Address | Kalamazoo, MI 49009-3234 |
| Second Address | Kalamazoo, MI 49009-3234 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 26/06/2013 |
| Last Update Date | 18/12/2018 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.