Individual provider · Type 1 NPI
Jason Martin
Chiropractor · Rockford, IL
NPI number
1083210504
Active
Practice location
6435 Weaver Rd
Rockford, IL 61114-8109
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Chiropractor Primary | 111N00000X | 5483-12 (WI) |
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.
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About NPI 1083210504
Jason Martin's National Provider Identifier is 1083210504, issued on Dec 9, 2020. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Rockford, IL. The record was last updated on Dec 9, 2020.