Jackson Chiropractic Clinic, PC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

2301003001 Issued in MI

Legal business name

JACKSON CHIROPRACTIC CLINIC, PC

Practice address

2455 E Hill Rd
Grand Blanc, MI 48439-5063

Phone

(810) 695-4090

Fax

(810) 695-6690

NPI assigned

Aug 29, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Charles Arthur Jackson, D.C.

Title

President

Phone

(810) 695-4090

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1188345600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1326844800000",
    "number": "1114111572",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2455 E HILL RD",
            "city": "GRAND BLANC",
            "state": "MI",
            "postal_code": "484395063",
            "telephone_number": "810-695-4090",
            "fax_number": "810-695-6690"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2455 E HILL RD",
            "city": "GRAND BLANC",
            "state": "MI",
            "postal_code": "484395063",
            "telephone_number": "810-695-4090",
            "fax_number": "810-695-6690"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JACKSON CHIROPRACTIC CLINIC, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-29",
        "last_updated": "2012-01-18",
        "status": "A",
        "authorized_official_last_name": "JACKSON",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "ARTHUR",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "810-695-4090",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301003001",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ismail B. Sendi, MD PC
• Florina Ivan, RPH
• Tamara Roumayah Ivers, MD
• J Martin Ulrich DO PC
• Matthew Jaboro
• Avery Michael Jackson III, M.D.
• Caramarie Jackson, PA-C
• Charles Arthur Jackson Jr., D.C.
• Evelyn Jackson, CRNA
• Givaunni S Jackson

• Chiropractor in Grand Blanc, MI
• Providers in Grand Blanc, MI by specialty
• Chiropractor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.