JACKSON CHIROPRACTIC INC NPI 1164594867

NPI Information

JACKSON CHIROPRACTIC INC is a chiropractor in Cameron Park, CA. 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 INC NPI is 1164594867. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

3330 CAMERON PARK DR STE 200
CAMERON PARK, CA
ZIP 95682-652
Phone: (530) 621-4803
Fax: (530) 621-2450

The provider's authorized official is Garrell Keithe Jackson .
The authorized official title is President and has the following contact phone number (530) 621-4803.

The enumeration date for this NPI number is 11/15/2006 and was last updated on 5/13/2021.

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:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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