Harvey P Jack is a Chiropractor in Moline, Illinois. Harvey P Jack practices all healthcare services and medical treatments related to Chiropractor. The NPI Number for Harvey P Jack is 1457448243. The last update date is 2007-07-08.
Harvey P Jack's current location address is 1570 36 Ave Suite 4, Moline, Illinois. You can contact this provider via phone number 3097625225 and fax number 3097647679. The mailing address for Harvey P Jack is 1570 36 Ave Suite 4, Moline, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Harvey P Jack |
|---|---|
| Address | 1570 36 Ave Suite 4, Moline, Illinois |
| Phone Number | 3097625225 |
| Fax Number | 3097647679 |
| Sole Proprietor | Y |
| Credentials | D.C. |
NPI Number Detail
| NPI Number | 1457448243 |
|---|---|
| Provider Enumeration Date | 2006-10-05 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 1570 36 Ave Suite 4 |
|---|---|
| City | Moline |
| State | Illinois (IL) |
| Post Code | 61265 |
| Phone Number | 3097625225 |
| Fax Number | 3097647679 |
Provider's Primary Taxonomy Detail
| Speciality | Chiropractor |
|---|---|
| Taxonomy | 111N00000X |
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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 |
|---|---|---|---|
| 8132078 | IL | BLUE CROSS&BLUE SHEILD |
Post Comment/ Review Below
What is the Harvey P Jack's 1457448243?
The Harvey P Jack's NPI (National Provider Identifier) Number is 1457448243. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Harvey P Jack?
The Harvey P Jack is situated at 1570 36 Ave Suite 4, in the city of Moline, state of IL, with the zip code 61265.
What is Harvey P Jack's specialized field of practice, and what is the corresponding taxonomy classification code?
The Harvey P Jack's area of specialization is Chiropractor, and the corresponding taxonomy code that categorizes this field of practice is 111N00000X.
On what date was the 1457448243 assigned to Harvey P Jack?
The Harvey P Jack was issued its 1457448243 on 2006-10-05, 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 pertaining to Harvey P Jack last refreshed?
The information related to the Harvey P Jack, including its address, specialty, and other relevant details, was last updated on 2007-07-08.