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NPI Code Detail

MEDICARE: DR. MEGGAN MARIE JACKS D.C.

MEDICARE: DR. MEGGAN MARIE JACKS D.C.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1111N00000XChiropractor01-04998KS

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1111N00000XOTHERKSTAXONOMIES

General Provider Information

NPI Number : 1841279312
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MEGGAN MARIE JACKS D.C.
Provider Business Mailing Address
First Line : 7905 SANTA FE DR
Second Line :
City : OVERLAND PARK
State : KS
Zip : 66204-3644
Country : US
Telephone Number : 913-515-6614
Fax Number : 913-642-4076
Provider Business Practice Location Address
First Line : 7905 SANTA FE DR
Second Line :
City : OVERLAND PARK
State : KS
Zip : 66204-3644
Country : US
Telephone Number : 913-515-6614
Fax Number : 913-642-4076
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/12/2006
Last Update Date : 01/24/2008

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