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Contact Information

JACKSON CHIROPRACTIC LLC
147 MAIN STREET
WAGENER, SC29164
 Phone: 803-564-6000
 Fax: 803-564-6011
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Chiropractor

111N00000X 35 Chiropractic
Indicates primary specialty

NPI Profile & details for JACKSON CHIROPRACTIC LLC · (Female)

NPI Number 1952731531
Status Active
Credentials
Entity Individual
Enumeration date 11/19/2013
Last updated 11/09/2015 - About 11 years ago
Sole proprietor 1 Not specified
Identifiers
  • SC License # 3479
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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