Dr. Jacob Jackson
Chiropractor Orthopedic Specialist
5801 S Fashion Blvd Suite 210
Murray
, Utah 84107-6159
Dr. Jacob Jackson
Chiropractor Orthopedic Specialist
5801 S Fashion Blvd Suite 210
Murray
, Utah 84107-6159
(801) 506-0134
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About
Features
Specialties
- Chiropractor Orthopedic Specialist
Languages spoken
- English
Location
First Address
- Dr. Jacob Jackson
- 5801 S Fashion Blvd Suite 210
- Murray, UT
- Zip : 84107-6159
- Fax : (801) 506-0134
- Phone : (801) 923-2882
Second Address
- Dr. Jacob Jackson
- 5801 S Fashion Blvd Suite 210
- Murray, UT
- Zip : 84107-6159
- Fax : (801) 506-0134
- Phone : (801) 923-2882
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 111NX0800X | Chiropractor Orthopedic Specialist | 9690256-1202 | UT |
National Provider Identifier
| NPI | 1114386620 |
|---|---|
| Provider Name | Dr. Jacob Jackson |
| First Address | Murray, UT 84107-6159 |
| Second Address | Murray, UT 84107-6159 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 12/02/2016 |
| Last Update Date | 28/10/2016 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.