Active NPIIndividual providerSole proprietor

Dr. Robert W Jackson, DC

Chiropractor in West Roxbury, Massachusetts

NPI Number1316052863
Practice location
2101 Centre St, West Roxbury, MA 02132-3317
Fax
617-323-1736
Last updated
July 8, 2007

Robert William Jackson is a Chiropractor based in West Roxbury, MA. Robert William Jackson practices in West Roxbury, MA and has the professional credentials of DC. The NPI Number for Robert William Jackson is 1316052863 and holds a License No. 388 (MA). The current practice location address for Robert William Jackson is 2101 Centre St, West Roxbury, MA 02132-3317 and can be reached out via phone at 617-323-5040 and via fax at 617-323-1736.

Provider Profile Details

NPI Number
1316052863
Provider Name
Robert William Jackson
Credential
DC
Provider Entity Type
Individual
Gender
Male
Address
2101 Centre St, West Roxbury, MA 02132-3317
Phone Number
617-323-5040
Fax Number
617-323-1736
Primary Taxonomy
Chiropractor · 111N00000X
Sole Proprietor
Yes
Provider Enumeration Date
August 21, 2006
Last Update Date
July 8, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
2101 Centre St
West Roxbury, MA 02132-3317
Zip
02132-3317
Phone Number
617-323-5040
Fax Number
617-323-1736
West Roxbury, MA 02132Get directions →

Provider Business Mailing Address Details

Address
20 Cherokee RD
Acton, MA 01720-2339
City
Acton
State
MA
Zip
01720-2339
Phone Number
978-929-9939

License Information

License Number
388
License State
MA
Taxonomy
Chiropractor · 111N00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Dr. Robert W Jackson, DC?

The NPI number of Dr. Robert W Jackson, DC is 1316052863. It was assigned on August 21, 2006 and is currently active in the NPPES registry.

What is the specialty of Dr. Robert W Jackson, DC?

Dr. Robert W Jackson, DC is registered under the primary taxonomy Chiropractor (code 111N00000X), licensed in MA under license number 388.

Where does Dr. Robert W Jackson, DC practice?

The practice location is 2101 Centre St, West Roxbury, MA 02132-3317. The office can be reached at 617-323-5040 (phone) or 617-323-1736 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1316052863 directly on the NPPES registry website.

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