Donald V.Jackson, Dc,Pc in Austin - Chiropractor
Donald V.Jackson, Dc,Pc - NPI 1366647588
Donald V.Jackson, Dc,Pc is a Chiropractor in Austin, Texas. Donald V.Jackson, Dc,Pc practices all healthcare services and medical treatments related to Chiropractor. The NPI Number for Donald V.Jackson, Dc,Pc is 1366647588. The last update date is 2008-02-26.
Donald V.Jackson, Dc,Pc's current location address is 1408 W Koenig Ln, Austin, Texas. You can contact this provider via phone number 5124514006. The mailing address for Donald V.Jackson, Dc,Pc is 1408 W Koenig Ln, Austin, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Donald V.Jackson, Dc,Pc |
|---|---|
| Address | 1408 W Koenig Ln, Austin, Texas |
| Phone Number | 5124514006 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | DR |
|---|---|
| Authorized Official Name | Jackson Vance Donald |
| Credentials | D.C. |
| Telephone Number | 5124514006 |
NPI Number Detail
| NPI Number | 1366647588 |
|---|---|
| Provider Enumeration Date | 2007-06-18 |
| Last Updated Date | 2008-02-26 |
Provider Mailing Address Detail
| Address | 1408 W Koenig Ln |
|---|---|
| City | Austin |
| State | Texas (TX) |
| Post Code | 787561426 |
| Phone Number | 5124514006 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Chiropractor |
|---|---|
| Taxonomy | 111N00000X |
| Licence No | 4460 |
|
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 |
|---|---|---|---|
| 00Y349 | TX | BCBS 0051QP |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Donald V.Jackson, Dc,Pc by the Centers for Medicare & Medicaid Services?
The Donald V.Jackson, Dc,Pc has been assigned the NPI (National Provider Identifier) 1366647588 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Can you provide the Donald V.Jackson, Dc,Pc's physical address?
The Donald V.Jackson, Dc,Pc is physically located at 1408 W Koenig Ln, in the city of Austin, TX, with the postal code 787561426.
What is Donald V.Jackson, Dc,Pc's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Donald V.Jackson, Dc,Pc is Chiropractor, and the taxonomy classification code that categorizes this area of expertise is 111N00000X.
On what date was the 1366647588 assigned to Donald V.Jackson, Dc,Pc?
The Donald V.Jackson, Dc,Pc was issued its 1366647588 on 2007-06-18, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the information pertaining to Donald V.Jackson, Dc,Pc most recently updated or revised?
The details related to Donald V.Jackson, Dc,Pc, including its address, specialty, and other relevant information, were last updated or revised on 2008-02-26.