Individual provider · Type 1 NPI

Brandon T. Jackson, DC

Chiropractor · O Fallon, MO

NPI number 1578896031 Active

Practice location

5551 Winghaven Blvd Ste 20
O Fallon, MO 63368-3618

Call (636) 614-0401 Map

Fax (636) 265-0014

Specialties and licenses

TaxonomyCodeLicense
Chiropractor Primary 111N00000X2011014558 (MO)

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.

3 other providers at this address

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About NPI 1578896031

Brandon T. Jackson, DC's National Provider Identifier is 1578896031, issued on Sep 15, 2009. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in O Fallon, MO. The record was last updated on Apr 2, 2022.