Jackson, Brian Matthew

Jackson, Brian Matthew is an sole proprietor health care provider with primary practice located at 1620 Hawthorne Dr Ste 400, Plainfield IN 46168-2814. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Jackson, Brian Matthew can be contacted via phone (765) 894-0500.

Contact Information

Primary practice address
1620 Hawthorne Dr Ste 400 Plainfield IN 46168-2814
Phone: (765) 894-0500
Fax: (317) 454-1327
Website:
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Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X 08002510A Indiana

Profile Details

NPI number 1891013405
LBN Legal business name Jackson, Brian Matthew
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 6th, 2010
Last updated Sep 9th, 2018 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1891013405 NPPES
Indiana MEDICAID 200990510

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