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Individual

CHADWICK THOMAS JACKSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DC

Contact information

Practice address
45637 HAYES RD, SHELBY TWP, MI 48315-6214
(586) 991-6471
Mailing address
45637 HAYES RD, SHELBY TWP, MI 48315-6214
(586) 991-6471

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2301011110
MI
111N00000X
Chiropractor
Primary
5563
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
2301011110
LICENSE NUMBER
MI
01
5563
LICENSE NUMBER
KY
Enumeration date
01/24/2018
Last updated
07/16/2026
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