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JACKSON CHIROPRACTIC PC NPI 1982735536


NPI Information

NPI: 1982735536
Provider Name: JACKSON CHIROPRACTIC PC
Classification: Chiropractor - 111N00000X
Entity Type: Organization
Address:
2912 CROSSING COURT
CHAMPAIGN, IL
ZIP 61822
Phone: (217) 351-7746
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JACKSON CHIROPRACTIC PC is a chiropractor in Champaign, IL. The provider is 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 interrelationship with other body systems. JACKSON CHIROPRACTIC PC NPI is 1982735536. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2912 CROSSING COURT
CHAMPAIGN, IL
ZIP 61822-163
Phone: (217) 351-7746
Fax: (866) 204-2774

The provider's authorized official is Clint Jackson .
The authorized official title is President and has the following contact phone number (217) 351-7746.

The enumeration date for this NPI number is 3/7/2007 and was last updated on 7/30/2021.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1111N00000XChiropractor038010337ILLINOISYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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