Dean C Jacks is a Chiropractor in Niceville, Florida. Dean C Jacks practices all healthcare services and medical treatments related to Chiropractor. The NPI Number for Dean C Jacks is 1619996493. The last update date is 2015-10-16.
Dean C Jacks's current location address is 1550 John Sims Pkwy E, Niceville, Florida. You can contact this provider via phone number 8506788048 and fax number 8553338662. The mailing address for Dean C Jacks is 1550 John Sims Pkwy E, Niceville, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Dean C Jacks |
|---|---|
| Address | 1550 John Sims Pkwy E, Niceville, Florida |
| Phone Number | 8506788048 |
| Fax Number | 8553338662 |
| Sole Proprietor | N |
| Credentials | DC |
NPI Number Detail
| NPI Number | 1619996493 |
|---|---|
| Provider Enumeration Date | 2006-07-19 |
| Last Updated Date | 2015-10-16 |
Provider Mailing Address Detail
| Address | 1550 John Sims Pkwy E |
|---|---|
| City | Niceville |
| State | Florida (FL) |
| Post Code | 325782138 |
| Phone Number | 8506788048 |
| Fax Number | 8553338662 |
Provider's Primary Taxonomy Detail
| Speciality | Chiropractor |
|---|---|
| Taxonomy | 111N00000X |
| Licence No | CH0007168 |
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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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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 350046350 | FL | RAILROAD MEDICARE | |
| 55486 | FL | BLUE CROSS BLUE SHIELD |
Post Comment/ Review Below
What is the unique provider identifier assigned to Dean C Jacks?
The Dean C Jacks has been issued the NPI (National Provider Identifier) 1619996493 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you kindly provide the complete physical address where Dean C Jacks's facilities are geographically located?
The facilities of Dean C Jacks are physically situated at the following location: 1550 John Sims Pkwy E, Niceville, FL, 325782138.
What is Dean C Jacks's area of expertise and its corresponding taxonomy classification?
The Dean C Jacks'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 Centers for Medicare & Medicaid Services assign the 1619996493 to Dean C Jacks?
The Centers for Medicare & Medicaid Services assigned the 1619996493 to Dean C Jacks on 2006-07-19.
When was the Dean C Jacks's information last updated?
The Dean C Jacks's information was last updated on 2015-10-16.