Mark A Jackson
Family Doctor Family Doctor - Geriatric Medicine
1000 Pavilions Circle Mark A Jackson Md Plc
Traverse City
, Michigan 49684
Mark A Jackson
Family Doctor Family Doctor - Geriatric Medicine
1000 Pavilions Circle Mark A Jackson Md Plc
Traverse City
, Michigan 49684
(231) 346-6017
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About
Features
Specialties
- Family Doctor
- Family Doctor - Geriatric Medicine
Languages spoken
- English
Location
First Address
- Mark A Jackson
- 10850 E Traverse Hwy Ste 4400
- Traverse City, MI
- Zip : 49684-1364
- Fax : (231) 346-6017
- Phone : (231) 346-6930
Second Address
- Mark A Jackson
- 1000 Pavilions Circle Mark A Jackson Md Plc
- Traverse City, MI
- Zip : 49684
- Fax : (231) 935-0984
- Phone : (231) 935-0913
Reviews
FAQs
Where did Mark A Jackson attend graduate school?
Where did Mark A Jackson do his residency?
Where did Mark A Jackson do his fellowship?
Is Mark A Jackson board certified?
What type of doctor is Mark A Jackson
In what state does Mark A Jackson practice in?
Where is Mark A Jackson ’s practice located?
What is Mark A Jackson ’s gender?
Is Mark A Jackson a sole practitioner?
Is Mark A Jackson accepting new patients?
What languages does Mark A Jackson speak?
Does Mark A Jackson accept insurance?
Does Mark A Jackson offers telemedicine?
What is Mark A Jackson ’s professional license number?
What is Mark A Jackson ’s NPI number?
Does Mark A Jackson have any license restrictions?
Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 207Q00000X | Family Doctor | 051555 | MI |
| Y | 207QG0300X | Family Doctor - Geriatric Medicine | 4301051555 | MI |
National Provider Identifier
| NPI | 1073585238 |
|---|---|
| Provider Name | Mark A Jackson |
| First Address | Traverse City, MI 49684-1364 |
| Second Address | Traverse City, MI 49684 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 02/02/2006 |
| Last Update Date | 23/10/2015 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 080B86010 | BLUE SHIELD (01) | MA |
| 1820487 | (05) | MI |
| B43877 | (02) | |
| B43877 | (02) | MI |
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.