Individual
DR. MICHAEL L JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
411 W TIPTON ST, SEYMOUR, IN 47274-2363
(812) 522-2349
Mailing address
1155 W 3RD ST, BLOOMINGTON, IN 47404-5016
(812) 336-1690
(812) 349-1311
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
01032507A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01032507A
IN LICENSE
IN
01
—
01032507B
CSR
IN
05
—
100331130
—
IN
Enumeration date
08/31/2006
Last updated
03/07/2023
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us