Jacksonville Chiropractic P. A. in Jacksonville - Chiropractor
Jacksonville Chiropractic P. A. - NPI 1629258595
Jacksonville Chiropractic P. A. is a Chiropractor in Jacksonville, Arkansas. Jacksonville Chiropractic P. A. practices all healthcare services and medical treatments related to Chiropractor. The NPI Number for Jacksonville Chiropractic P. A. is 1629258595. The last update date is 2008-08-05.
Jacksonville Chiropractic P. A.'s current location address is 1727 T P White Dr, Jacksonville, Arkansas. You can contact this provider via phone number 5019857711 and fax number 5019858385. The mailing address for Jacksonville Chiropractic P. A. is 1727 T P White Dr, Jacksonville, Arkansas. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Jacksonville Chiropractic P. A. |
|---|---|
| Address | 1727 T P White Dr, Jacksonville, Arkansas |
| Phone Number | 5019857711 |
| Fax Number | 5019858385 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Bennett W Blake |
| Credentials | D.C. |
| Telephone Number | 5019857711 |
NPI Number Detail
| NPI Number | 1629258595 |
|---|---|
| Provider Enumeration Date | 2007-11-08 |
| Last Updated Date | 2008-08-05 |
Provider Mailing Address Detail
| Address | 1727 T P White Dr |
|---|---|
| City | Jacksonville |
| State | Arkansas (AR) |
| Post Code | 720762861 |
| Phone Number | 5019857711 |
| Fax Number | 5019858385 |
Provider's Primary Taxonomy Detail
| Speciality | Chiropractor |
|---|---|
| Taxonomy | 111N00000X |
|
Definition: A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its inte |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 5T401 | AR | MEDICARE GROUP MEMBER PTAN | |
| 5F994 | AR | MEDICARE GROUP PTAN | |
| U63233 | AR | UPIN |
Post Comment/ Review Below
What is the unique identifier code issued to Jacksonville Chiropractic P. A. by the Centers for Medicare & Medicaid Services (CMS)?
The Jacksonville Chiropractic P. A. has been assigned the NPI (National Provider Identifier) 1629258595. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you kindly provide the complete physical address where Jacksonville Chiropractic P. A.'s facilities are geographically located?
The facilities of Jacksonville Chiropractic P. A. are physically situated at the following location: 1727 T P White Dr, Jacksonville, AR, 720762861.
What is Jacksonville Chiropractic P. A.'s area of expertise and its corresponding taxonomy classification?
The Jacksonville Chiropractic P. A.'s field of specialization is Chiropractor, and it falls under the taxonomy code 111N00000X, which categorizes healthcare providers based on their areas of practice.
On what date did the Jacksonville Chiropractic P. A. receive its 1629258595 assignment from the Centers for Medicare & Medicaid Services?
The Jacksonville Chiropractic P. A. was assigned its 1629258595 by the Centers for Medicare & Medicaid Services on 2007-11-08.
As of what date was the information regarding Jacksonville Chiropractic P. A., such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Jacksonville Chiropractic P. A., including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2008-08-05.
NPI Number: 1720081763
Address: 675 E Highway 60, Hardinsburg, KY