Robert Donald Jackson Jr. Pc in Wheat Ridge - Chiropractor
Robert Donald Jackson Jr. Pc - NPI 1396872586
Robert Donald Jackson Jr. Pc is a Chiropractor in Wheat Ridge, Colorado. Robert Donald Jackson Jr. Pc practices all healthcare services and medical treatments related to Chiropractor. The NPI Number for Robert Donald Jackson Jr. Pc is 1396872586. The last update date is 2007-10-17.
Robert Donald Jackson Jr. Pc's current location address is 12505 W 32nd Ave, Wheat Ridge, Colorado. You can contact this provider via phone number 3032379607 and fax number 3032376253. The mailing address for Robert Donald Jackson Jr. Pc is 12505 W 32nd Ave, Wheat Ridge, Colorado. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Robert Donald Jackson Jr. Pc |
|---|---|
| Address | 12505 W 32nd Ave, Wheat Ridge, Colorado |
| Phone Number | 3032379607 |
| Fax Number | 3032376253 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Jackson Donald Robert |
| Credentials | D.C. |
| Telephone Number | 3032379617 |
NPI Number Detail
| NPI Number | 1396872586 |
|---|---|
| Provider Enumeration Date | 2007-02-27 |
| Last Updated Date | 2007-10-17 |
Provider Mailing Address Detail
| Address | 12505 W 32nd Ave |
|---|---|
| City | Wheat Ridge |
| State | Colorado (CO) |
| Post Code | 800335254 |
| Phone Number | 3032379607 |
| Fax Number | 3032376253 |
Provider's Primary Taxonomy Detail
| Speciality | Chiropractor |
|---|---|
| Taxonomy | 111N00000X |
| Licence No | 2140 |
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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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What is the unique 10-digit identifier code issued to Robert Donald Jackson Jr. Pc by the Centers for Medicare & Medicaid Services?
The Robert Donald Jackson Jr. Pc has been assigned the NPI (National Provider Identifier) 1396872586 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you share the physical location details of Robert Donald Jackson Jr. Pc?
The Robert Donald Jackson Jr. Pc is situated at 12505 W 32Nd Ave, in the city of Wheat Ridge, state of CO, with the zip code 800335254.
What is Robert Donald Jackson Jr. Pc's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Robert Donald Jackson Jr. Pc's specialized field of practice is Chiropractor, and the corresponding taxonomy code that categorizes this area of specialization is 111N00000X.
On what date was the 1396872586 assigned to Robert Donald Jackson Jr. Pc?
The Robert Donald Jackson Jr. Pc was issued its 1396872586 on 2007-02-27, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details related to Robert Donald Jackson Jr. Pc most recently updated or revised?
The information pertaining to Robert Donald Jackson Jr. Pc, including its address, specialty, and other relevant details, was last updated or revised on 2007-10-17.