Organization
WEST ROXBURY CHIROPRACTIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT W JACKSON DC (OWNER)
(617) 323-5040
Entity
Organization
Contact information
Practice address
20 CHEROKEE RD, ACTON, MA 01720-2339
(978) 394-2147
Mailing address
20 CHEROKEE RD, ACTON, MA 01720-2339
(978) 394-2147
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
388
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1603230
—
MA
01
—
495231
TUFTS
MA
01
—
AA69927
HARVARD PILGRIM
MA
01
—
Y40094
BLUE CROSS BLUE SHIELD
MA
Enumeration date
01/25/2007
Last updated
06/06/2008
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