Holiday Temple Jackson, D.C.

Chiropractor · Aptos, CA

Individual Active NPI

NPI number 1689949208

Practice location

163 Anita Ave
Aptos, CA 95003-4904
Phone
(831) 219-6909

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NPI record

NPI
1689949208
Entity type
Individual (Type 1)
Enumeration date
March 14, 2012
Last updated
March 14, 2012
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Chiropractor Primary 111N00000X 19167 CA

About Dr. Jackson

Holiday Temple Jackson, D.C. is a healthcare provider registered in the NPI registry with the primary taxonomy Chiropractor (code 111N00000X). The practice location is 163 Anita Ave, Aptos, CA 95003-4904. The NPI number 1689949208 was assigned on March 14, 2012 and the record was last updated on March 14, 2012.

Dr. Jackson lists a license in the registry: #19167 (CA) for Chiropractor. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Holiday Temple Jackson, D.C.?

The NPI number is 1689949208.

What is the phone number of Dr. Jackson?

The phone number listed for the practice location is (831) 219-6909.

Where is Dr. Jackson located?

163 Anita Ave, Aptos, CA 95003-4904.

What is the taxonomy code for Dr. Jackson?

The primary taxonomy code is 111N00000X – Chiropractor.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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