Bobby Jackson
Technician, Other • Saginaw, MI
Notice of NPI Deactivation & Inactive Practice Status
According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Bobby Jackson has officially deactivated this NPI record and ceased active healthcare practice.
Professional Overview & Biography Verified Profile Summary
Bobby Jackson was a registered Technician, Other practicing in Saginaw, MI. Throughout an active medical career spanning 9 years, Bobby Jackson provided care at the practice location at 4491 MACKINAW RD until profile deactivation on 2025-03-20.
Practice Location & Contact Primary Location
4491 Mackinaw Rd
Saginaw, MI 486033115
Specialty Benchmarks & Practice Insights
Comparative analytics for Technician, Other in Saginaw, MI
Practicing in Saginaw, MI (3821 Statewide)
In-Person Office Visits Only
Under CMS Medicare Fee Schedule vs Standard Submitted Charges
Medical Specialties & State Licenses
NUCC Taxonomy Code: 247200000X
A collective term for persons with specialized training in various narrow fields of expertise whose occupations require training and skills in specific technical processes and procedures; and where further classification is deemed unnecessary by the user.
Career & Practice History Timeline
Chronological log of verified NPI updates, location relocations, credentials, and registry changes
Record deactivated on March 20, 2025
NPI status registered as active in NPPES database
Registered at 4491 MACKINAW RD, SAGINAW, MI 486033115 (Tel: 9895015898)
Registered at 4491 MACKINAW RD, SAGINAW, MI 486033115 (Tel: 9895015898)
Recorded as BOBBY JACKSON
Technician, Other
First registered as active Individual Practitioner in NPPES Database.
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NPI Administrative Meta
Mailing Address
4491 Mackinaw Rd
Saginaw, MI 486033115
Phone: 9895015898
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