Active NPIIndividual providerSole proprietor

Dr. Stephen C Jackson, DC

Chiropractor in Millville, New Jersey

NPI Number1417087107
Practice location
122 N 2ND St, Millville, NJ 08332-6512
Fax
856-327-2307
Last updated
July 8, 2007

Stephen Charles Jackson is a Chiropractor based in Millville, NJ. Stephen Charles Jackson practices in Millville, NJ and has the professional credentials of DC. The NPI Number for Stephen Charles Jackson is 1417087107 and holds a License No. MC03904 (NJ). The current practice location address for Stephen Charles Jackson is 122 N 2ND St, Millville, NJ 08332-6512 and can be reached out via phone at 856-825-0452 and via fax at 856-327-2307.

Provider Profile Details

NPI Number
1417087107
Provider Name
Stephen Charles Jackson
Credential
DC
Provider Entity Type
Individual
Gender
Male
Address
122 N 2ND St, Millville, NJ 08332-6512
Phone Number
856-825-0452
Fax Number
856-327-2307
Primary Taxonomy
Chiropractor · 111N00000X
Sole Proprietor
Yes
Provider Enumeration Date
March 6, 2007
Last Update Date
July 8, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
122 N 2ND St
Millville, NJ 08332-6512
Zip
08332-6512
Phone Number
856-825-0452
Fax Number
856-327-2307
Millville, NJ 08332Get directions →

Provider Business Mailing Address Details

Address
122 N 2ND St
Millville, NJ 08332-6512
City
Millville
State
NJ
Zip
08332-6512
Phone Number
856-825-0452
Fax Number
856-327-2307

License Information

License Number
MC03904
License State
NJ
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. Stephen C Jackson, DC?

The NPI number of Dr. Stephen C Jackson, DC is 1417087107. It was assigned on March 6, 2007 and is currently active in the NPPES registry.

What is the specialty of Dr. Stephen C Jackson, DC?

Dr. Stephen C Jackson, DC is registered under the primary taxonomy Chiropractor (code 111N00000X), licensed in NJ under license number MC03904.

Where does Dr. Stephen C Jackson, DC practice?

The practice location is 122 N 2ND St, Millville, NJ 08332-6512. The office can be reached at 856-825-0452 (phone) or 856-327-2307 (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 1417087107 directly on the NPPES registry website.

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