JACKSONVILLE CHIROPRACTIC CLINIC LLC (NPI# 1891015483) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891015483 |
| Entity Type | Organization |
| Organization Name | JACKSONVILLE CHIROPRACTIC CLINIC LLC |
| Practice Address |
580 Blackstone Aly Jacksonville OR 97530-9007 |
| Mailing Address |
Po Box 1077 Jacksonville OR 97530-1077 |
| Practice Telephone | 5418992760 |
| Practice Fax Number | 5418992760 |
| Mailing Telephone | 5418992760 |
| Mailing Fax Number | 5418992760 |
| Enumeration Date | 2010-06-04 |
| Last Update Date | 2010-06-04 |
| Authorized Official Name | JASON JUDE WILLIAMS (CLINIC DIRECTOR) |
| Authorized Official Telephone | 5418992760 |
| Authorized Official Credential | D.C. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 3206 | OR | Chiropractic Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OR | 274976 | 05 |
| Street Address |
580 BLACKSTONE ALY |
| City | JACKSONVILLE |
| State | OR |
| Zip Code | 97530-9007 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386244549 | Joseph Budziszewski | Massage Therapist | 580 Blackstone Aly, Jacksonville, OR 97530-9007 | 2020-10-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083112957 | Cody Moss | Chiropractor | 660 G St Ste A, Jacksonville, OR 97530 | 2018-01-25 |
| 1659819621 | Denise Alane Davis | Nurse Practitioner | 115 Ponderosa Way, Jacksonville, OR 97530 | 2017-02-09 |
| 1831640192 | Columbiacare Services | Community Based Residential Treatment Facility, Mental Illness | 8336 Highway 62, White City, OR 97530 | 2016-10-20 |
| 1023444502 | Rebecca Lynne Giudili | Behavioral Analyst | 1425 Humbug Ck Rd, Jacksonville, OR 97530 | 2013-09-17 |
| 1487922381 | Ashley Rose Merrill | Midwife | 235 E. Main St., Jacksonville, OR 97530 | 2011-12-06 |
| 1518135334 | Lynn Ellen Reordan | Physical Therapist | 635 N. 5th St., Jacksonville, OR 97530 | 2008-02-14 |
| 1821289984 | Nathan M Tanner | Dentist | 725 N 5th St Ste 101, Jacksonville, OR 97530 | 2007-08-05 |
| 1467667139 | Diana K Helvey | Denturist | 590 Blackstone Alley, Jacksonville, OR 97530 | 2007-05-14 |
| 1902027295 | Michelle Dawn Bienick | Naprapath | 1881 Humbug Creek Rd, Applegate, OR 97530 | 2007-05-02 |
| 1821121526 | Anne Marie Vincent | Chiropractor | 7370 Hwy 238, Jacksonville, OR 97530 | 2007-03-13 |
| Find all providers in zip 97530 | ||||
| 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 |
|---|---|---|---|---|
| 1679172548 | Jacksonville Chiropractic Rehab and Wellness Center | Chiropractor | 7908 Blanding Boulevard, Suite #4, Jacksonville, FL 32244-7564 | 2020-10-22 |
| 1588261572 | Postural Chiropractic | Chiropractor | 4263 Losco Rd Apt 623, Jacksonville, FL 32257-1449 | 2020-10-03 |
| 1932729639 | Medicussx Spine & Joint, LLC | Chiropractor | 9191 R G Skinner Pkwy Unit 901, Jacksonville, FL 32256-9663 | 2020-04-22 |
| 1801425913 | Yale Gordon | Chiropractor | 6263 Philips Hwy, Jacksonville, FL 32216-6047 | 2020-04-02 |
| 1437787454 | Holly Ganley | Chiropractor | 12486 Weeping Branch Cir, Jacksonville, FL 32218-9602 | 2020-03-27 |
| 1093347767 | Jennifer Vannoy | Chiropractor | 6100 Greenland Rd Ste 101, Jacksonville, FL 32258-2624 | 2020-02-10 |
| 1831739317 | True Wellness Health Center | Chiropractor | 1124 Bahia Blanca St S, Jacksonville, FL 32256-7393 | 2020-01-13 |
| 1356981955 | Endeavor Health Center | Chiropractor | 13051 Gran Bay Pkwy Unit 1328, Jacksonville, FL 32258-6515 | 2020-01-10 |
| 1134762834 | Christina Salvia | Chiropractor | 11900 Atlantic Blvd Ste 226, Jacksonville, FL 32225-2942 | 2019-10-25 |
| 1386290898 | Kelsey R Clevenger | Chiropractor | 4413 Town Center Parkway, Ste. 205, Jacksonville, FL 32246 | 2019-08-12 |
| Find all providers in JACKSONVILLE | ||||
| City | JACKSONVILLE |
| Zip Code | 97530 |
Please comment or provide details below to improve the information on JACKSONVILLE CHIROPRACTIC CLINIC LLC.
| 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.