Jackson, Clint A

Jackson, Clint A is an individual health care provider with primary practice located at 2912 Crossing Ct , Champaign IL 61822-6163. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Jackson, Clint A can be contacted via phone (217) 351-7746.

Contact Information

Primary practice address
2912 Crossing Ct Champaign IL 61822-6163
Phone: (217) 351-7746
Fax: (866) 204-2774
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X 038010337 Illinois

Profile Details

NPI number 1174569834
LBN Legal business name Jackson, Clint A
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 21st, 2006
Last updated Jul 30th, 2021 - about 3 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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