Nathan W Jackson DC

NPI 1053321877 - Chiropractor - 111N00000X

NPI Details
NPI 1053321877
Gender Male
Enumeration Date 08/08/2006
Last Updated 02/23/2012
Entity Type Individual
Active Over 11 years ago
Practice Location
OCONTO WI, 54153-1552, US
Phone (920) 834-7034
Fax (920) 834-2844
Business Location
PO BOX 131
OCONTO WI, 54153-1552, US
Phone (920) 834-7034
Fax (920) 834-2844
Taxonomy Code 111N00000X
License State Michigan
License Number 230100-8172
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According to our database, Nathan W Jackson DC NPI is 1053321877, taxonomy code is 111N00000X and license number is 230100-8172, license state is located at Michigan. Nathan W Jackson DC physically located at 1008b Pecor St, Oconto WI, 54153-1552. NPI Number Nathan W Jackson DC has the Individual type.

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1053321877 NPI number is provided on an as is basis without warranty of any kind. 1053321877 is maintained by the National Plan & Provider Enumeration System. The contents of Nathan W Jackson DC are for informational purposes only.