DR. Clint A Jackson, D.C.

NPI #1174569834 in Champaign, Illinois

Provider Information

NPI Number: 1174569834
Entity Type: Individual
Name: DR. Clint A Jackson, D.C.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Chiropractor
Credential: D.C.
Enumeration Date: Jun 21, 2006
Last Updated: Jul 30, 2021

Practice Location

Address: 2912 CROSSING CT
City: Champaign
State: Illinois
ZIP Code: 61822-6163
Phone: (217) 351-7746

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor	111N00000X	Primary

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