Individual
MR. DOUGLAS EARL JACOT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
1640 TENTH AVENUE, BALDWIN, WI 54002
(715) 684-3344
(715) 684-3345
Mailing address
1640 TENTH AVENUE, BALDWIN, WI 54002
(715) 684-3344
(715) 684-3345
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1496
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
38758200
—
WI
Enumeration date
12/28/2006
Last updated
07/08/2007
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