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EMMANUEL RIDGE CHIROPRACTIC SERVICES INC. NPI 1609951847


NPI Information

NPI: 1609951847
Provider Name: EMMANUEL RIDGE CHIROPRACTIC SERVICES, INC.
Classification: Chiropractor - 111N00000X
Entity Type: Organization
Address:
4801 N STATE ST STE 116
JACKSON, MS
ZIP 39206
Phone: (601) 845-3544
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EMMANUEL RIDGE CHIROPRACTIC SERVICES, INC. is a chiropractor in Jackson, MS. 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. EMMANUEL RIDGE CHIROPRACTIC SERVICES, INC. NPI is 1609951847. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

4801 N STATE ST STE 116
JACKSON, MS
ZIP 39206-825
Phone: (601) 845-3544
Fax: (601) 845-3636

The provider's authorized official is Beatrice A Ezem .
The authorized official title is President,ceo and has the following contact phone number (601) 845-3544.

The enumeration date for this NPI number is 10/26/2006 and was last updated on 8/22/2020.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1111N00000XChiropractor0972MISSISSIPPIYes

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: 4/28/2024

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