| Visiting Doctors Pc | |
|
2108 4th St Ste A Jackson MI 49203-4518 | |
| (517) 788-9700 | |
| (517) 784-8975 |
| Full Name | Visiting Doctors Pc |
|---|---|
| Speciality | General Practice |
| Location | 2108 4th St Ste A, Jackson, Michigan |
| Authorized Official Name and Position | Ajovi Blessing Scott-emuakpor (OWNER) |
| Authorized Official Contact | 5177889700 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Visiting Doctors Pc Po Box 1002 Jackson MI 49204-1002 Ph: (517) 879-1007 | Visiting Doctors Pc 2108 4th St Ste A Jackson MI 49203-4518 Ph: (517) 788-9700 |
| NPI Number | 1992974018 |
|---|---|
| Provider Enumeration Date | 02/22/2008 |
| Last Update Date | 09/25/2014 |
| Medicare PECOS PAC ID | 5294814372 |
|---|---|
| Medicare Enrollment ID | O20080430000463 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992974018 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (Michigan) | Primary |
| Provider Name | Ajovi B Scott Emuakpor |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1376571000 PECOS PAC ID: 9335129881 Enrollment ID: I20040723000963 |
| Provider Name | Zahirul Talukder |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1861678856 PECOS PAC ID: 5294850590 Enrollment ID: I20100909001029 |
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