CHADWICK THOMAS JACKSON (NPI# 1407354509) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407354509 |
| Entity Type | Individual |
| Full Name | CHADWICK THOMAS JACKSON |
| Credential | DC |
| Practice Address |
205 Champion Way Ste 9 Georgetown KY 40324-8862 |
| Practice Telephone | 6155165194 |
| Mailing Telephone | 6155165194 |
| Enumeration Date | 2018-01-24 |
| Last Update Date | 2018-01-24 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 5563 | KY | Chiropractic Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | LICENSE NUMBER | 5563 | 01 |
| Street Address |
205 CHAMPION WAY STE 9 |
| City | GEORGETOWN |
| State | KY |
| Zip Code | 40324-8862 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124526223 | Legacy Chiropractic Inc | Chiropractor | 205 Champion Way Ste 9, Georgetown, KY 40324-8862 | 2018-01-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306457577 | Katherine Lynn Helly | Specialist/Technologist | 108 Crawford Dr, Georgetown, KY 40324 | 2020-08-12 |
| 1629530597 | Hannah Cheyenne Lambert | Occupational Therapy Assistant | 12 Dover Dr, Georgetown, KY 40324 | 2019-04-01 |
| 1669932430 | Kathlyn Reeves Cummings | Occupational Therapist | 112 Dover Drive Dover Manor, Georgetown, KY 40324 | 2019-03-20 |
| 1356848147 | Conundrum, Inc | Home Health | 107 Frazier Ct Ste 2b, Georgetown, KY 40324 | 2018-04-09 |
| 1831698893 | Staci Case | Counselor | 110 E. Main St. Suite 111, Georgetown, KY 40324 | 2018-02-06 |
| 1821537002 | Lesa Young | Counselor | 112 Gatewood Drive, Georgetown, KY 40324 | 2017-02-21 |
| 1508235904 | Recovery Works | Specialist | 3109 Cincinnati Road, Georgetown, KY 40324 | 2015-09-16 |
| 1417326810 | Recovery Works | Specialist | 3111 Cincinnati Road, Georgetown, KY 40324 | 2015-09-16 |
| 1982073383 | Recovery Works | Specialist | 3109-5 Cincinnati Road, Georgetown, KY 40324 | 2015-09-16 |
| 1871962274 | Recovery Works | Specialist | 3111-5 Cincinnati Road, Georgetown, KY 40324 | 2015-09-16 |
| Find all providers in zip 40324 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124627286 | Kirsten Rene Parker | Chiropractor | 750 County Road 234 Bldg 1, Georgetown, TX 78633-4426 | 2020-10-20 |
| 1053973644 | Georgetown Chiropractic Center | Chiropractor | 1304 Paris Pike, Georgetown, KY 40324-9704 | 2019-07-03 |
| 1376001651 | Shelby Danielle Phillips | Chiropractor | 1520 Leander Rd Ste 103, Georgetown, TX 78628-8842 | 2019-03-06 |
| 1366918252 | Sammie Mees | Chiropractor | 1103 Williams Dr Ste 101, Georgetown, TX 78628-4109 | 2018-10-17 |
| 1043706344 | Acc-georgetown LLC | Chiropractor | 3007 Dawn Dr Ste 101, Georgetown, TX 78628-2864 | 2018-07-10 |
| 1124526223 | Legacy Chiropractic Inc | Chiropractor | 205 Champion Way Ste 9, Georgetown, KY 40324-8862 | 2018-01-24 |
| 1255845830 | Chelsea Hartinger | Chiropractor | 105 Windsor Path Ste 4, Georgetown, KY 40324-9819 | 2017-11-19 |
| 1457877342 | Credence Chiropractic LLC | Chiropractor | 1103 Rivery Dr Ste 120, Georgetown, TX 78628-3056 | 2017-08-22 |
| 1134519127 | Miranda Wall | Chiropractor | 100 River Hills Dr Ste 102, Georgetown, TX 78628-3682 | 2015-01-28 |
| 1043617202 | Waccamaw Family Chiropractic, P.C. | Chiropractor | 1153 N Fraser St, Georgetown, SC 29440-2851 | 2014-12-03 |
| Find all providers in GEORGETOWN | ||||
| City | GEORGETOWN |
| Zip Code | 40324 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.