1. Home
  2. Directory
  3. Michigan
  4. Detroit
  5. Student In An Organized Health Care Education Training Program
  6. NPI Profile

JOCK MICHAEL THACKER
NPI 1306409776
Student in an Organized Health Care Education/Training Program in Detroit, MI

Active since April 20, 2019
4201 ST. ANTOINE STREET, 6C, UNIVERSITY HEALTH CENTER, DETROIT, MI 48201(313) 577-5009 Get Directions Write a Review

NPPES record last updated: April 20, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Jock Michael Thacker NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JOCK MICHAEL THACKER (NPI 1306409776) is an individual student in an organized health care education/training program in Detroit, Michigan and active in the NPI registry since April 2019.

NPPES Registry Identity

NPI1306409776
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameJOCK MICHAEL THACKER
Location Address4201 ST. ANTOINE STREET, 6C, UNIVERSITY HEALTH CENTERDetroit, MI 48201
Mailing Address2600 Milscott Dr Apt 2307Decatur, GA 30033-6040 · (205) 746-2453
Phone(313) 577-5009
Sole ProprietorNo
Enumeration DateApril 20, 2019
✔ NPI 1306409776 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
4201 ST. ANTOINE STREET, Detroit, MI 48201
Open in Google Maps ↗

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ANUPAMDEEP SINGH MEHAR M.D.
Internal Medicine
4201 ST. ANTOINE STREET, SUITE 2E
DETROIT, MI 48201
Wayne County (313) 265-7525
ADITI SHARMA M.D.
Student in an Organized Health Care Education/Training Program
4201 ST. ANTOINE STREET, SUITE 2E
DETROIT, MI 48201
Wayne County (313) 745-3000
DR. CODRUT SILVIU IOAN RADOIU MD
Student in an Organized Health Care Education/Training Program
4201 ST. ANTOINE STREET, UHC-7C
DETROIT, MI 48201
Wayne County (313) 588-4937
DR. MEER MARDEN HUSAIN HUSAIN M.D.
Student in an Organized Health Care Education/Training Program
4201 ST. ANTOINE STREET
DETROIT, MI 48201
Wayne County (313) 745-3000
DR. TESSIA MARIE YOUNG FALSETTO M.D.
Student in an Organized Health Care Education/Training Program
4201 ST. ANTOINE STREET, UHC - 9C
DETROIT, MI 48201
Wayne County (248) 581-5900

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jock Thacker's NPI number?

The NPI number for Jock Thacker is 1306409776. It was assigned to this individual provider in the NPPES registry on April 20, 2019.

Where is Jock Thacker located?

Jock Thacker practices at 4201 St. Antoine Street 6C, University Health Center, Detroit, MI 48201. The listed phone number is (313) 577-5009.

What is Jock Thacker's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Jock Thacker was last updated on April 20, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.