Jackson, Nathan W

Jackson, Nathan W is an individual health care provider with primary practice located at 1134 Main St , Oconto WI 54153-1540. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Jackson, Nathan W can be contacted via phone (920) 834-7034.

Contact Information

Primary practice address
1134 Main St Oconto WI 54153-1540
Phone: (920) 834-7034
Fax: (920) 834-2844
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X 230100-8172 Michigan
Chiropractic Providers / Chiropractor 111N00000X 3687-12 Wisconsin

Profile Details

NPI number 1053321877
LBN Legal business name Jackson, Nathan W
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 8th, 2006
Last updated Sep 1st, 2021 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1053321877 NPPES
Michigan MEDICAID 144266436
Michigan MEDICAID 38929400

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