Dr. Jared Kenton Jackson, DC
Chiropractor in Grand Rapids, MI. Individual provider (NPI-1).
NPI number1184447005
StatusActive
Last updated in NPPESNov 7, 2024
Details
- NPI
- 1184447005
- Entity type
- Individual (NPI-1)
- Name
- Dr. Jared Kenton Jackson
- Credential
- DC
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Nov 7, 2024
- Certification date
- Nov 7, 2024
- Last updated
- Nov 7, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 111N00000X | Chiropractor | 2301401582 | MI | Yes |
Practice location
1593 Galbraith Ave Se Ste 205Grand Rapids, MI 49546-9032
Phone 616-949-1888
Mailing address
7385 30th St SeAda, MI 49301-8570
Phone 231-640-4010
Other practice locations
218 W Main St
Middleville, MI 49333-8954
Middleville, MI 49333-8954
Phone 269-795-7145
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