Organization
JACKSON CHIROPRACTIC CLINIC, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEPHEN CRAIG KINCAID D.C. (OWNER)
(740) 286-4890
Entity
Organization
Contact information
Practice address
63 E SOUTH ST, JACKSON, OH 45640-1638
(740) 286-4890
(740) 286-6115
Mailing address
63 E SOUTH ST, JACKSON, OH 45640-1638
(740) 286-4890
(740) 286-6115
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1085
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9269911
—
OH
Enumeration date
01/28/2008
Last updated
07/01/2013
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