John Burton Stockton, D.C.

Individual provider Active NPI Chiropractor · Copperas Cove, TX

NPI 1396759486 · NPPES record last updated Feb 14, 2008

Key facts

NPI
1396759486
Entity type
Individual (NPI type 1)
Primary specialty
Chiropractor 111N00000X
License
9536 (TX)
Practice address
211 Liberty Bell LN Ste 111
Copperas Cove, TX 76522-2588
Phone
(254) 547-6654
Fax
(254) 547-6652
NPI assigned
Jul 27, 2006
Sex
Male
Sole proprietor
No

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes

Practice roles

OrganizationSpecialtyStatusNew patients
Cove Freedom Chiropractic Chiropractor Past
since May 1, 2013
Accepting new patients
Isdale Chiropractic Clinic of Copperas Cove Chiropractor Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 9536 TX Yes

Addresses

Primary practice location

211 Liberty Bell LN Ste 111
Copperas Cove, TX 76522-2588

Mailing address

211 Liberty Bell LN Ste 111
Copperas Cove, TX 76522-2588
Phone (254) 547-6654

Other providers in Copperas Cove, TX

All providers in Copperas Cove, TX · Chiropractor in Texas

Sources for this page

Verify at the official NPI Registry.