# JACKSON CHIROPRACTIC CLINIC, INC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1326225756
- **Authorized official:** DR. STEPHEN CRAIG KINCAID D.C. (OWNER)
- **Authorized official phone:** (740) 286-4890

## Contact information

- **Practice address:** 63 E SOUTH ST, JACKSON, OH 45640-1638
- **Practice address phone:** (740) 286-4890
- **Practice address fax:** (740) 286-6115
- **Mailing address:** 63 E SOUTH ST, JACKSON, OH 45640-1638
- **Mailing address phone:** (740) 286-4890
- **Mailing address fax:** (740) 286-6115

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111N00000X | Chiropractor | 1085 | OH | Yes |

## Other

- **Enumeration date:** 01/28/2008
- **Last updated:** 07/01/2013

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 9269911 | — | OH |