Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JACKSON DETRICK
Active Sole ProprietorJACKSON DETRICK is a Chiropractor healthcare provider located in ALTOONA, Wisconsin. NPI 1760946743 is currently active in the NPPES registry. Verify at CMS.
Chiropractor · ALTOONA, WI
Registration Details
- NPI Number
- 1760946743
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jan 24, 2019 (7.5570859287855 yrs)
- Last Updated
- Jan 24, 2019
- License
-
5425-12 (WI)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1893 WHISTLING STRAITS DRALTOONA, WI, 547202259Browse WI providers · Browse ZIP 54720
- Phone
- 7158283245
- Primary Specialty
-
Chiropractor
111N00000X
Other Chiropractor Providers in ALTOONA, WI
| Name | Credential | NPI |
|---|---|---|
| DR. JOHN MATHEW PAKAN | D.C. | 1336251123 |
| DR. TIMOTHY MICHAEL GUNDERSON | D.C. | 1871649509 |
| DR. THOMAS ROBERT PELLATT | D.C. | 1801175633 |
| DAVID KELBEL | — | 1639704638 |
| BRITNEY BINDER | DC | 1407670250 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.