Leja Jackson Inc

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

4301042693 Issued in MI

Legal business name

LEJA JACKSON INC

Practice address

920 S Huron St
Cheboygan, MI 49721-2267

Phone

(231) 597-8192

Fax

(231) 597-8463

NPI assigned

Nov 9, 2006

Last updated

May 6, 2013By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Loretta M Leja, M DNPI 1831122324

Title

Owner

Phone

(231) 597-8192

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Loretta M Leja, M.D.

  • Family Medicine Physician
  • Cheboygan, MI
  • NPI 1831122324
  Authorized official Same address or phone

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1163030400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1367798400000",
    "number": "1235209099",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "920 S HURON ST",
            "city": "CHEBOYGAN",
            "state": "MI",
            "postal_code": "497212267",
            "telephone_number": "231-597-8192",
            "fax_number": "231-597-8463"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "920 S HURON ST",
            "city": "CHEBOYGAN",
            "state": "MI",
            "postal_code": "497212267",
            "telephone_number": "231-597-8192",
            "fax_number": "231-597-8463"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEJA JACKSON INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-09",
        "last_updated": "2013-05-06",
        "status": "A",
        "authorized_official_last_name": "LEJA",
        "authorized_official_first_name": "LORETTA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "231-597-8192",
        "authorized_official_credential": "M D"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "4301042693",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4559907",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mathew Robert Laberge
• Lakeside Haven Management Group (Lakeside Home Care)
• Lakeside Home Care Services LLC
• Abbi Jo Lalond
• Kaitlin Marie Lalonde, PA-C
• Loretta M Leja, M.D.
• Life Chiropractic and Wellness Center Inc.
• Linda Margarets Retirement Community LLC
• Lisa Gahn (Lisa Howard)
• Diane Lissfelt, LMSW, ACSW, CAC-1

• Family Medicine Physician in Cheboygan, MI
• Providers in Cheboygan, MI by specialty
• Family Medicine Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.