Jackson Chiropractic Pc in Champaign - Chiropractor
Jackson Chiropractic Pc - NPI 1982735536
Jackson Chiropractic Pc is a Chiropractor in Champaign, Illinois. Jackson Chiropractic Pc practices all healthcare services and medical treatments related to Chiropractor. The NPI Number for Jackson Chiropractic Pc is 1982735536. The last update date is 2021-07-30.
Jackson Chiropractic Pc's current location address is 2912 Crossing Court, Champaign, Illinois. You can contact this provider via phone number 2173517746 and fax number 6620427748. The mailing address for Jackson Chiropractic Pc is 2912 Crossing Court, Champaign, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Jackson Chiropractic Pc |
|---|---|
| Address | 2912 Crossing Court, Champaign, Illinois |
| Phone Number | 2173517746 |
| Fax Number | 6620427748 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Jackson Clint |
| Credentials | D.C. |
| Telephone Number | 2173517746 |
NPI Number Detail
| NPI Number | 1982735536 |
|---|---|
| Provider Enumeration Date | 2007-03-07 |
| Last Updated Date | 2021-07-30 |
Provider Mailing Address Detail
| Address | 2912 Crossing Court |
|---|---|
| City | Champaign |
| State | Illinois (IL) |
| Post Code | 618226163 |
| Phone Number | 2173517746 |
| Fax Number | 6620427748 |
Provider's Primary Taxonomy Detail
| Speciality | Chiropractor |
|---|---|
| Taxonomy | 111N00000X |
| Licence No | 38010337 |
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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 identification code issued to Jackson Chiropractic Pc by the Centers for Medicare & Medicaid Services?
The Jackson Chiropractic Pc has been assigned the NPI (National Provider Identifier) 1982735536 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you please share the complete physical location address where Jackson Chiropractic Pc's facilities are situated?
The facilities of Jackson Chiropractic Pc are physically located at the following address: 2912 Crossing Court, Champaign, IL, 618226163.
What is Jackson Chiropractic Pc's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Jackson Chiropractic Pc is Chiropractor, and the taxonomy code that categorizes this field of expertise is 111N00000X.
When was the Jackson Chiropractic Pc's 1982735536 issued?
The Jackson Chiropractic Pc's 1982735536 was issued on 2007-03-07.
When was the Jackson Chiropractic Pc's information last updated?
The Jackson Chiropractic Pc's information was last updated on 2021-07-30.