DR. STEPHEN CHARLES JACKSON (NPI# 1417087107) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417087107 |
| Entity Type | Individual |
| Full Name | DR. STEPHEN CHARLES JACKSON |
| Credential | D.C. |
| Practice Address |
122 N 2nd St Millville NJ 08332-6512 |
| Practice Telephone | 8568250452 |
| Practice Fax Number | 8563272307 |
| Mailing Telephone | 8568250452 |
| Mailing Fax Number | 8563272307 |
| Enumeration Date | 2007-03-06 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | MC03904 | NJ | Chiropractic Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NJ | 1907506 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275926503 | Stephen Jackson | Spec/Tech, Cardiovascular | 2577 Sawgrass Lake Ct, Cape Coral, FL 33909-2935 | 2015-03-11 |
| 1750636288 | Stephen Michael Jackson | Dentist | 350 E 600 S Ste 1, St George, UT 84770 | 2012-07-20 |
| 1548428964 | Stephen Daniel Jackson | Obstetrics & Gynecology | 1091 Kirkpatrick Road, Burlington, NC 27215-9714 | 2008-06-02 |
| 1164411013 | Stephen J Jackson | Emergency Medicine | 4716 S 14th St, Abilene, TX 79605-4733 | 2005-10-13 |
| 1285102582 | Stephen Lee Jackson | Marriage & Family Therapist | 5409 Maryland Way Ste 305, Brentwood, TN 37027-1035 | 2018-11-05 |
| 1225531296 | Stephen A Jackson | Social Worker | 2501 N 3rd St, Harrisburg, PA 17110-2098 | 2018-03-15 |
| 1659733491 | Stephen Jackson | Emergency Medicine | 1170 Cleveland Ave, East Point, GA 30344-3615 | 2016-03-22 |
| 1275918401 | Stephen Jackson | Physical Therapist | 36501 Mission St, Suite A, Prairieville, LA 70769-3289 | 2015-07-29 |
| 1295097590 | Stephen Jackson | Counselor | 165 Roanoke Rd, El Cajon, CA 92020-4015 | 2012-06-12 |
| 1851428627 | Stephen Paul Jackson | Dentist | 8200 E Belleview Ave, Suite 445e, Greenwood Village, CO 80111-2803 | 2007-02-27 |
| Street Address |
122 N 2ND ST |
| City | MILLVILLE |
| State | NJ |
| Zip Code | 08332-6512 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285158956 | Elwyn New Jersey | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 26 N. Ladow Ave, Apt. #16b, Millville, NJ 08332 | 2017-08-03 |
| 1649794314 | Elwyn New Jersey | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 26 N. Ladow Ave., Apt. #8d, Millville, NJ 08332 | 2017-08-03 |
| 1639693302 | Elwyn New Jersey | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 26 N. Ladow Ave., Apt. 19k, Millville, NJ 08332 | 2017-08-03 |
| 1912421686 | Elwyn New Jersey | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 26 N. Ladow Ave., Apt. #15j, Millville, NJ 08332 | 2017-08-03 |
| 1720502495 | Elwyn New Jersey | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 26 N. Ladow Ave., Apt. #16f, Millville, NJ 08332 | 2017-08-03 |
| 1376067041 | Elwyn New Jersey | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 26 N. Ladow Ave., Apt. #21h, Millville, NJ 08332 | 2017-08-03 |
| 1932572989 | Caringhouse Projects, Inc | Respite Care | 1306 Farton Road, Millville, NJ 08332 | 2015-11-12 |
| 1467825778 | Caringhouse Projects, Inc | Respite Care | 403 Harrison Avenue, Millville, NJ 08332 | 2015-11-09 |
| 1528444734 | The Devereux Foundation | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 207 Bogden Boulevard, Millville, NJ 08332 | 2015-08-11 |
| 1285028936 | Brooke Colleen Doyle | Chiropractor | 1014 N High St., Millville, NJ 08332 | 2015-03-20 |
| Find all providers in zip 08332 | ||||
| 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 |
|---|---|---|---|---|
| 1285028936 | Brooke Colleen Doyle | Chiropractor | 1014 N High St., Millville, NJ 08332 | 2015-03-20 |
| 1407929904 | Advanced Spine and Rehabilitation Center LLC | Chiropractor | 1201 E Broad St, Millville, NJ 08332-1615 | 2006-11-15 |
| 1568535060 | Martin Hahn | Chiropractor | 10 E Main St Ste G, Millville, NJ 08332-4293 | 2006-11-15 |
| 1265546436 | Nichole Campagna Bieber | Chiropractor | 410 South State Street, Millville, PA 17846 | 2006-08-18 |
| 1336100304 | Paula J Wilson | Chiropractor | 1201 East Broad Street, Millville, NJ 08332 | 2006-03-30 |
| 1184912966 | Hahn Family Chiropractic LLC | Chiropractor | 10 E Main St, Suite G, Millville, NJ 08332-4293 | 2011-07-14 |
| 1265595409 | Wilson Family Chiropractic LLC | Chiropractor | 1201 E Broad St, Millville, NJ 08332-1615 | 2006-12-19 |
| 1790874741 | Donald George Hattier | Chiropractor | 35202 Atlantic Ave, Millville, DE 19967-6901 | 2006-10-11 |
| 1407894033 | Millville Chiropractic Center | Chiropractor | 1014 N High St, Millville, NJ 08332-2527 | 2006-06-04 |
| 1013993765 | James A Beebe | Chiropractor | 1014 N High St, Millville, NJ 08332-2527 | 2005-12-15 |
| Find all providers in MILLVILLE | ||||
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| 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.