Individual
JASON PHIPPS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
59 HAWKS LANDING CIR, APT 218, VERONA, WI 53593-8051
(910) 391-0826
Mailing address
59 HAWKS LANDING CIR, APT 218, VERONA, WI 53593-8051
(910) 391-0826
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
4785-012
WI
Other
Enumeration date
02/12/2012
Last updated
02/12/2012
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