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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

NPI Number 1952731531
LBN Legal business name JACKSON CHIROPRACTIC LLC
Authorized official BRANDY JACKSON STROMAN - (CHIROPRACTOR)
Entity Organization
Organization subpart 1 No
Enumeration date 11/19/2013
Last updated 11/09/2015 - About 11 years ago
Identifiers
SC License # 3479
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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