Individual provider · Type 1 NPI
Harvey P. Jack, DC
Chiropractor · Moline, IL
NPI number
1457448243
Active
Practice location
1570 36 Ave Suite 4
Moline, IL 61265
Fax (309) 764-7679
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Chiropractor Primary | 111N00000X | None listed |
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 1457448243
Harvey P. Jack, DC's National Provider Identifier is 1457448243, issued on Oct 5, 2006. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Moline, IL. The record was last updated on Jul 8, 2007.