Jackson, Quianna K

Jackson, Quianna K is an individual health care provider with primary practice located at 10003 Nw Military Hwy Ste 2217 , San Antonio TX 78231-1890. She recently has 2 registered licenses in different health care specialties including Chiropractic Providers / Chiropractor, Chiropractic Providers / Rehabilitation. Chiropractic Providers / Rehabilitation is her primary health care specialty. Jackson, Quianna K can be contacted via phone (210) 318-3007.

Contact Information

Primary practice address
10003 Nw Military Hwy Ste 2217 San Antonio TX 78231-1890
Phone: (210) 318-3007
Fax: (210) 468-0682
Website:
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Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X DC36304 California
Chiropractic Providers / Rehabilitation 111NR0400X 15576 Texas

Profile Details

NPI number 1962110049
LBN Legal business name Jackson, Quianna K
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 8th, 2022
Last updated Aug 23rd, 2023 - about last year

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 1962110049 NPPES
Texas Other 15576 CHIROPRACTIC LICENSE

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