Nathan W Jackson is a Chiropractor in Oconto, Wisconsin. Nathan W Jackson practices all healthcare services and medical treatments related to Chiropractor. The NPI Number for Nathan W Jackson is 1053321877. The last update date is 2021-09-01.
Nathan W Jackson's current location address is Po Box 131, Oconto, Wisconsin. You can contact this provider via phone number 9208347034 and fax number 9208342844. The mailing address for Nathan W Jackson is Po Box 131, Oconto, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Nathan W Jackson |
|---|---|
| Address | Po Box 131, Oconto, Wisconsin |
| Phone Number | 9208347034 |
| Fax Number | 9208342844 |
| Sole Proprietor | N |
| Credentials | DC |
NPI Number Detail
| NPI Number | 1053321877 |
|---|---|
| Provider Enumeration Date | 2006-08-08 |
| Last Updated Date | 2021-09-01 |
Provider Mailing Address Detail
| Address | Po Box 131 |
|---|---|
| City | Oconto |
| State | Wisconsin (WI) |
| Post Code | 541530131 |
| Phone Number | 9208347034 |
| Fax Number | 9208342844 |
Provider's Primary Taxonomy Detail
| Speciality | Chiropractor |
|---|---|
| Taxonomy | 111N00000X |
| Licence No | 230100-8172 |
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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 |
|---|---|---|---|
| 144266436 | MI | -- | |
| 38929400 | WI | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Nathan W Jackson by the Centers for Medicare & Medicaid Services?
The Nathan W Jackson has been issued the NPI (National Provider Identifier) 1053321877, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Nathan W Jackson's physical address?
The Nathan W Jackson is physically located at Po Box 131, in the city of Oconto, WI, with the postal code 541530131.
What is Nathan W Jackson's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Nathan W Jackson is Chiropractor, and the taxonomy code that categorizes this field of expertise is 111N00000X.
On what date was the 1053321877 assigned to Nathan W Jackson?
The Nathan W Jackson was issued its 1053321877 on 2006-08-08, 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 Nathan W Jackson last refreshed?
The information related to the Nathan W Jackson, including its address, specialty, and other relevant details, was last updated on 2021-09-01.