Michael Wayne Jackson D.C.

NPI 1144207556 - Chiropractor - 111N00000X

NPI Details
NPI 1144207556
Gender Male
Enumeration Date 12/28/2005
Last Updated 07/08/2007
Entity Type Individual
Active Over 11 years ago
Practice Location
733 W KEARNEY ST
SPRINGFIELD MO, 65803-1229, US
Phone (417) 831-7575
Fax (417) 831-7632
Business Location
733 W KEARNEY ST
SPRINGFIELD MO, 65803-1229, US
Phone (417) 831-7575
Fax (417) 831-7632
Toxanomy
Taxonomy Code 111N00000X
License State Missouri
License Number 2004027940
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According to our database, Dr. Michael Wayne Jackson D.C. NPI is 1144207556, taxonomy code is 111N00000X and license number is 2004027940, license state is located at Missouri. Michael Wayne Jackson D.C. physically located at 733 W Kearney St, Springfield MO, 65803-1229. NPI Number Michael Wayne Jackson D.C. has the Individual type.

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1144207556 NPI number is provided on an as is basis without warranty of any kind. 1144207556 is maintained by the National Plan & Provider Enumeration System. The contents of Michael Wayne Jackson D.C. are for informational purposes only.