Jacqueline a Corkin DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

11360 Issued in TX

Legal business name

JACQUELINE A CORKIN DC

Practice address

1101 W Bluff St
Woodville, TX 75979-4737

Phone

(409) 283-8133

Fax

(409) 283-8134

NPI assigned

May 11, 2011

Organization subpart

No

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

Authorized official

Name

Dr. Jacqueline Corkin, D.C.

Title

Owner

Phone

(409) 283-8133

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1305072000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1313366400000",
    "number": "1487946315",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1101 W BLUFF ST",
            "city": "WOODVILLE",
            "state": "TX",
            "postal_code": "759794737",
            "telephone_number": "409-283-8133",
            "fax_number": "409-283-8134"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 W BLUFF ST",
            "city": "WOODVILLE",
            "state": "TX",
            "postal_code": "759794737",
            "telephone_number": "409-283-8133",
            "fax_number": "409-283-8134"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JACQUELINE A CORKIN DC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-11",
        "last_updated": "2011-08-15",
        "status": "A",
        "authorized_official_last_name": "CORKIN",
        "authorized_official_first_name": "JACQUELINE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "409-283-8133",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "11360",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Chiropractor in Woodville, TX
• Providers in Woodville, TX by specialty
• Chiropractor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2011; 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.