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Dr. Michael Wayne Jackson, DC
Chiropractor in Springfield, Missouri
NPI 1144207556

Michael Wayne Jackson is a Chiropractor based in Springfield, MO. Michael Wayne Jackson practices in Springfield, MO and has the professional credentials of DC. The NPI Number for Michael Wayne Jackson is 1144207556 and holds a License No. 2004027940 (Missouri).

The current practice location address for Michael Wayne Jackson is 733 W Kearney St, Springfield, MO and can be reached out via phone at 417-831-7575 and via fax at 417-831-7632.

Location: 733 W Kearney St, Springfield, MO, 65803-1229
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1144207556
Provider Name
Michael Wayne Jackson
Credential
DC
Provider Entity Type
Individual
Gender
Male
Address
733 W Kearney St, Springfield, MO, 65803-1229
Phone Number
417-831-7575
Fax Number
417-831-7632
Provider Enumeration Date
12/28/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
208658 01 MO BLUE CROSS BLUE SHIELD
9422836 01 MO PHCS
5687508 01 MO FIRST HEALTH
7483792 01 MO AETNA
institution
Provider Business Practice Location Address Details
Address
733 W Kearney St
City
Springfield
State
Missouri
Zip
65803-1229
Phone Number
417-831-7575
Fax Number
417-831-7632
person
Provider Business Mailing Address Details
Address
733 W Kearney St
City
Springfield
State
Missouri
Zip
65803-1229
Phone Number
417-831-7575
Fax Number
417-831-7632
person
Provider's Taxonomy Details 1
Type
Chiropractic Providers
Classification
Chiropractor
Speciality
-
Taxonomy
111N00000X
License No.
2004027940 (Missouri)
Definition
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.
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