Marvin Zebedee Jackson in Forest Park - Chiropractor
Marvin Zebedee Jackson - NPI 1891957015
Marvin Zebedee Jackson is a Chiropractor in Forest Park, Illinois. Marvin Zebedee Jackson practices all healthcare services and medical treatments related to Chiropractor. The NPI Number for Marvin Zebedee Jackson is 1891957015. The last update date is 2020-03-05.
Marvin Zebedee Jackson's current location address is 7435 Madison St, Forest Park, Illinois. You can contact this provider via phone number 3129988282. The mailing address for Marvin Zebedee Jackson is 7435 Madison St, Forest Park, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Marvin Zebedee Jackson |
|---|---|
| Address | 7435 Madison St, Forest Park, Illinois |
| Phone Number | 3129988282 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | B.S.,D.C. |
NPI Number Detail
| NPI Number | 1891957015 |
|---|---|
| Provider Enumeration Date | 2008-06-29 |
| Last Updated Date | 2020-03-05 |
Provider Mailing Address Detail
| Address | 7435 Madison St |
|---|---|
| City | Forest Park |
| State | Illinois (IL) |
| Post Code | 601301542 |
| Phone Number | 3129988282 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Chiropractor |
|---|---|
| Taxonomy | 111N00000X |
| Licence No | 038-011180 |
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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 Marvin Zebedee Jackson by the Centers for Medicare & Medicaid Services?
The Marvin Zebedee Jackson has been assigned the NPI (National Provider Identifier) 1891957015 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you provide the complete physical address where Marvin Zebedee Jackson is located?
The Marvin Zebedee Jackson is situated at the following address: 7435 Madison St, Forest Park, IL, 601301542.
What is the Marvin Zebedee Jackson's area of specialization and corresponding taxonomy classification?
The Marvin Zebedee Jackson's specialty field is Chiropractor, and it falls under the taxonomy code 111N00000X, which categorizes healthcare providers based on their specialties.
On what date was the 1891957015 assigned to Marvin Zebedee Jackson?
The Marvin Zebedee Jackson was issued its 1891957015 on 2008-06-29, 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 Marvin Zebedee Jackson most recently updated or revised?
The information pertaining to Marvin Zebedee Jackson, including its address, specialty, and other relevant details, was last updated or revised on 2020-03-05.
NPI Number: 1699778829
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