Shackelford, Jerry Baxter

Shackelford, Jerry Baxter is an sole proprietor health care provider with primary practice located at 521 E Campbell Rd , Madison TN 37115-2501. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Shackelford, Jerry Baxter can be contacted via phone (615) 944-2305.

Contact Information

Primary practice address
521 E Campbell Rd Madison TN 37115-2501
Fax: (615) 868-2596
Website:

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X 00179 Tennessee

Profile Details

NPI number 1417073826
LBN Legal business name Shackelford, Jerry Baxter
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 21st, 2007
Last updated Jul 8th, 2007 - about 18 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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