JACKSON CHIROPRACTIC CLINIC, PC (NPI# 1114111572) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114111572 |
| Entity Type | Organization |
| Organization Name | JACKSON CHIROPRACTIC CLINIC, PC |
| Practice Address |
2455 E Hill Rd Grand Blanc MI 48439-5063 |
| Practice Telephone | 8106954090 |
| Practice Fax Number | 8106956690 |
| Mailing Telephone | 8106954090 |
| Mailing Fax Number | 8106956690 |
| Enumeration Date | 2007-08-29 |
| Last Update Date | 2012-01-18 |
| Authorized Official Name | DR. CHARLES ARTHUR JACKSON (PRESIDENT) |
| Authorized Official Telephone | 8106954090 |
| Authorized Official Credential | D.C. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 2301003001 | MI | Chiropractic Providers |
| Street Address |
2455 E HILL RD |
| City | GRAND BLANC |
| State | MI |
| Zip Code | 48439-5063 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508985250 | Charles Arthur Jackson Jr. | Chiropractor | 2455 E Hill Rd, Grand Blanc, MI 48439 | 2007-03-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811598931 | Fady Essi | Pharmacist | 6160 S Saginaw Road, Grand Blanc, 48439, USA 48439 | 2020-11-04 |
| 1407456254 | Bradley Dwane Murphy | Pharmacist | 6170 S Saginaw, Grand Blanc, MI 48439 | 2020-10-30 |
| 1457975476 | Lauren Nicole Holmes | Obstetrics & Gynecology | Gme Department, 1 Genesys Pkwy, Grand Blanc, MI 48439 | 2020-06-05 |
| 1366063927 | Hadeel Ghazi Barrawi | Family Medicine | Ascension Genesys Hospital, Office of Medical Education, One Genesys Parkway, Grand Blanc, MI 48439 | 2020-05-05 |
| 1245851427 | Adriana Sharp | Surgery | 1 Genesys, Grand Blanc, MI 48439 | 2020-04-29 |
| 1114485109 | Kristen Milefchik | Case Manager/Care Coordinator | 278 Fox Chase Blvd, Grand Blanc, MI 48439 | 2019-03-08 |
| 1588134175 | Audrie Brook Mullin | Registered Nurse | 2313 E. Hill Rd, Grand Blanc, MI 48439 | 2018-11-27 |
| 1457845703 | Michael Patrick Tuczynski | Family Medicine | One Genesys Parkway Ascension Genesys Hospital, Attn: Debra Shuck, Grand Blanc, MI 48439 | 2018-06-20 |
| 1104318112 | Wellbridge At Genesys Health Park, LLC | Skilled Nursing Facility | 3139 East Baldwin Road, Grand Blanc, MI 48439 | 2018-06-05 |
| 1336648393 | Raedeane Kenway | Dental Hygienist | 8542 Holly Rd, Grand Blanc, MI 48439 | 2018-02-06 |
| Find all providers in zip 48439 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508411976 | Grand Blanc Chiropractic LLC | Chiropractor | 8445 S Saginaw St Ste 201, Grand Blanc, MI 48439-2085 | 2019-08-02 |
| 1447694443 | Hanczaryk Chiropractic Neurology Group | Chiropractor | 8185 Holly Rd Ste 14, Grand Blanc, MI 48439-2444 | 2013-04-20 |
| 1558654566 | Andrea Towers Bondy | Chiropractor | 857 Health Park Blvd, Grand Blanc, MI 48439-7383 | 2011-05-24 |
| 1073828901 | Glenn A Partridge Dc Plc | Chiropractor | 3102 E Grand Blanc Rd, Grand Blanc, MI 48439-8116 | 2010-08-16 |
| 1790914612 | Ryan Parker | Chiropractor | 5302 Old Franklin Rd, Grand Blanc, MI 48439-8636 | 2009-07-13 |
| 1548405632 | Katrina Ruth Nicholson | Chiropractor | 500 Perry Rd Ste 202, Grand Blanc, MI 48439-1421 | 2008-12-03 |
| 1669648846 | Wanamaker Chiropractic | Chiropractor | 12765 S Saginaw St Ste 403, Grand Blanc, MI 48439-2450 | 2008-05-07 |
| 1508985250 | Charles Arthur Jackson Jr. | Chiropractor | 2455 E Hill Rd, Grand Blanc, MI 48439 | 2007-03-27 |
| 1821180266 | Stephan John Smith | Chiropractor | 11319 South Saginaw Street, Grand Blanc, MI 48439-1268 | 2006-09-29 |
| 1467550947 | Mark W Morningstar II | Chiropractor | 8293 Office Park Dr, Grand Blanc, MI 48439 | 2006-09-20 |
| Find all providers in GRAND BLANC | ||||
| City | GRAND BLANC |
| Zip Code | 48439 |
Please comment or provide details below to improve the information on JACKSON CHIROPRACTIC CLINIC, PC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.