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Hershel Jackson

Endocrinologist (Diabetes Doctor)

3990 John R St
Detroit , Michigan 48201-2018

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Hershel Jackson

Endocrinologist (Diabetes Doctor)

3990 John R St
Detroit , Michigan 48201-2018

(248) 559-8810

Write a Review Save Call

Hershel Jackson

Endocrinologist (Diabetes Doctor)

3990 John R St
Detroit , Michigan 48201-2018

(248) 559-8810 Call

Write a Review Save

About


Features

Language(s) Spoken
English
Ethnic Identity
White / Caucasian

Specialties

  • Endocrinologist (Diabetes Doctor)

Languages spoken

  • English

Location

3990 John R St Detroit , Michigan 48201-2018

First Address

  • Hershel Jackson
  • 23077 Greenfield Rd Ste 450
  • Southfield, MI
  • Zip : 48075-3760
  • Phone : (248) 559-8810

Second Address

  • Hershel Jackson
  • 3990 John R St
  • Detroit, MI
  • Zip : 48201-2018
  • Phone : (313) 745-8040

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FAQs


Where did Hershel Jackson attend graduate school?

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Where did Hershel Jackson do his residency?

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Where did Hershel Jackson do his fellowship?

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Is Hershel Jackson board certified?

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What type of doctor is Hershel Jackson

Endocrinologist (Diabetes Doctor)

In what state does Hershel Jackson practice in?

Michigan

Where is Hershel Jackson ’s practice located?

3990 John R St , Detroit, Michigan, 48201-2018

What is Hershel Jackson ’s gender?

Male

Is Hershel Jackson a sole practitioner?

No

Is Hershel Jackson accepting new patients?

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What languages does Hershel Jackson speak?

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Does Hershel Jackson accept insurance?

Yes, Hershel Jackson accepts insurance

Does Hershel Jackson offers telemedicine?

Hershel Jackson has not indicated if he offers telemedicine

What is Hershel Jackson ’s professional license number?

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What is Hershel Jackson ’s NPI number?

1023153178

Does Hershel Jackson have any license restrictions?

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Scope of Practice

Primary Taxonomy Code Taxonomy Specialty License Number License State
Y 207RE0101X Endocrinologist (Diabetes Doctor) 4301043930 MI

National Provider Identifier

NPI 1023153178
Provider Name Hershel Jackson
First Address Southfield, MI 48075-3760
Second Address Detroit, MI 48201-2018
Gender M
NPI Entity type Individual
Is Sole Proprietor No
Is Organization Subpart N/A
Enumeration Date 20/02/2007
Last Update Date 08/07/2007

NPI Footnotes


What is the National Provider Identifier (NPI)

The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address

The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address

The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code

The code describing the type of health care provider that is being assigned an NPI. The entity type codes are:
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?

Subparts are the components and separate physical locations of organization health care providers. Subpart examples include: Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name

The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.

Provider Enumeration Date

The date the provider was assigned a unique identifier (assigned an NPI)

Last Update Date

The date that a NPI record was last updated or changed

Primary Taxonomy Code

The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPls the license data is associated to the taxonomy code.

Authorized Official Name

The name of the person authorized to submit the PI application or to officially change data for a health care provider.

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