Douglas Earl Jacot in Baldwin - Chiropractor
Douglas Earl Jacot - NPI 1114083912
Douglas Earl Jacot is a Chiropractor in Baldwin, Wisconsin. Douglas Earl Jacot practices all healthcare services and medical treatments related to Chiropractor. The NPI Number for Douglas Earl Jacot is 1114083912. The last update date is 2007-07-08.
Douglas Earl Jacot's current location address is 1640 Tenth Avenue, Baldwin, Wisconsin. You can contact this provider via phone number 7156843344 and fax number 7156843345. The mailing address for Douglas Earl Jacot is 1640 Tenth Avenue, Baldwin, Wisconsin. To know further, please read the information below!
Provider Profile Detail
Provider Name | Douglas Earl Jacot |
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Address | 1640 Tenth Avenue, Baldwin, Wisconsin |
Phone Number | 7156843344 |
Fax Number | 7156843345 |
Sole Proprietor | N |
Credentials | D.C. |
NPI Number Detail
NPI Number | 1114083912 |
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Provider Enumeration Date | 2006-12-28 |
Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
Address | 1640 Tenth Avenue |
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City | Baldwin |
State | Wisconsin (WI) |
Post Code | 54002 |
Phone Number | 7156843344 |
Fax Number | 7156843345 |
Provider's Primary Taxonomy Detail
Speciality | Chiropractor |
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Taxonomy | 111N00000X |
Licence No | 1496 |
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 |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
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38758200 | WI | -- |
Post Comment/ Review Below
What is the Douglas Earl Jacot's unique identification number?
The Douglas Earl Jacot has been assigned the NPI (National Provider Identifier) Number 1114083912 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please share the complete physical location address where Douglas Earl Jacot's facilities are situated?
The facilities of Douglas Earl Jacot are physically located at the following address: 1640 Tenth Avenue, Baldwin, WI, 54002.
What is Douglas Earl Jacot'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 Douglas Earl Jacot is Chiropractor, and the taxonomy classification code that categorizes this area of expertise is 111N00000X.
When did the Douglas Earl Jacot receive its 1114083912?
The Douglas Earl Jacot was issued its 1114083912 on 2006-12-28, which is the date when the organization was assigned this unique identifier.
When was the information regarding Douglas Earl Jacot, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Douglas Earl Jacot, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2007-07-08.