Individual
DR. BENJAMIN CALEB JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C
Contact information
Practice address
522 COLLEGE DR, TORRINGTON, WY 82240-1517
(307) 532-2225
(307) 534-2202
Mailing address
522 COLLEGE DR, TORRINGTON, WY 82240-1517
(307) 532-2225
(307) 534-2202
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1591
NE
Other
Enumeration date
11/05/2009
Last updated
04/08/2015
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