Corey Lamont Jackson in Pine Bluff - Chiropractor
Corey Lamont Jackson - NPI 1659419075
Corey Lamont Jackson is a Chiropractor in Pine Bluff, Arkansas. Corey Lamont Jackson practices all healthcare services and medical treatments related to Chiropractor. The NPI Number for Corey Lamont Jackson is 1659419075. The last update date is 2007-07-08.
Corey Lamont Jackson's current location address is 3615 W Hepburn St, Pine Bluff, Arkansas. You can contact this provider via phone number 8706926618 and fax number 8705400554. The mailing address for Corey Lamont Jackson is 3615 W Hepburn St, Pine Bluff, Arkansas. To know further, please read the information below!
Provider Profile Detail
Provider Name | Corey Lamont Jackson |
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Address | 3615 W Hepburn St, Pine Bluff, Arkansas |
Phone Number | 8706926618 |
Fax Number | 8705400554 |
Sole Proprietor | N |
Credentials | D.C. |
NPI Number Detail
NPI Number | 1659419075 |
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Provider Enumeration Date | 2007-02-01 |
Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
Address | 3615 W Hepburn St |
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City | Pine Bluff |
State | Arkansas (AR) |
Post Code | 716032537 |
Phone Number | 8706926618 |
Fax Number | 8705400554 |
Provider's Primary Taxonomy Detail
Speciality | Chiropractor |
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Taxonomy | 111N00000X |
Licence No | 1684 |
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 |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Corey Lamont Jackson by the Centers for Medicare & Medicaid Services?
The Corey Lamont Jackson has been assigned the NPI (National Provider Identifier) 1659419075 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you kindly provide the complete physical address where Corey Lamont Jackson's facilities are geographically located?
The facilities of Corey Lamont Jackson are physically situated at the following location: 3615 W Hepburn St, Pine Bluff, AR, 716032537.
What is Corey Lamont Jackson's specialized field of practice, and what is the corresponding taxonomy classification code?
The Corey Lamont Jackson's area of specialization is Chiropractor, and the corresponding taxonomy code that categorizes this field of practice is 111N00000X.
When did the Corey Lamont Jackson receive its 1659419075?
The Corey Lamont Jackson was issued its 1659419075 on 2007-02-01, which is the date when the organization was assigned this unique identifier.
As of what date were the details pertaining to Corey Lamont Jackson last refreshed?
The information related to the Corey Lamont Jackson, including its address, specialty, and other relevant details, was last updated on 2007-07-08.
NPI Number: 1720081763
Address: 675 E Highway 60, Hardinsburg, KY