Dr. Brandon T. Jackson is a O Fallon, Missouri based male chiropractor who is specialized as General Chiropractor. Active license number of Dr. Brandon T. Jackson as General Chiropractor is 2011014558 in Missouri. Dr. Brandon T. Jackson is qualified as 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.
Complete Profile:
Dr. Brandon T. Jackson speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
Specialization:
Chiropractor
Credentials:
D.C.
Gender:
Male
Practice Address:
5551 Winghaven Blvd Ste 20, O Fallon, Missouri, 63368-3618
Phone:
636-614-0401
Fax:
636-265-0014
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
NPI Number:
1578896031
NPI Enumeration Date:
15 Sep, 2009
NPI Last Update On:
02 Apr, 2022
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Brandon T. Jackson are as mentioned below.
License Number
Specialization
State
Status
2011014558
Chiropractor
Missouri
Primary
Other Medical Identifiers:
Other legacy medical identifiers associated with Dr. Brandon T. Jackson such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
12014762
Other
Missouri
CAQH NUMBER
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
5551 Winghaven Blvd Ste 20, O Fallon, Missouri
Zip:
63368-3618
Phone Number:
636-614-0401
Fax Number:
636-265-0014
Patients can reach Dr. Brandon T. Jackson at 5551 Winghaven Blvd Ste 20, O Fallon, Missouri or can call to book an appointment on 636-614-0401. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 November, 2024.