Individual
DR. ANN E JACKMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.C.
Contact information
Practice address
15 E PLAIN ST, WAYLAND, MA 01778-4917
(508) 652-9830
Mailing address
15 E PLAIN ST, WAYLAND, MA 01778-4917
(508) 652-9830
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CH 2309
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
Y36681
BLUE CROSS BLUE SHIELD
MA
Enumeration date
04/20/2007
Last updated
07/08/2007
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