Provider Demographics
NPI:1568699734
Name:JEFFREY L. NIXON L.L.C.
Entity Type:Organization
Organization Name:JEFFREY L. NIXON L.L.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIROPRACTOR
Authorized Official - Prefix:
Authorized Official - First Name:JEFFREY
Authorized Official - Middle Name:L
Authorized Official - Last Name:NIXON D.C.
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:816-353-4404
Mailing Address - Street 1:8303 WESTRIDGE RD
Mailing Address - Street 2:
Mailing Address - City:RAYTOWN
Mailing Address - State:MO
Mailing Address - Zip Code:64138-2615
Mailing Address - Country:US
Mailing Address - Phone:816-353-4404
Mailing Address - Fax:
Practice Address - Street 1:8303 WESTRIDGE RD
Practice Address - Street 2:
Practice Address - City:RAYTOWN
Practice Address - State:MO
Practice Address - Zip Code:64138-2615
Practice Address - Country:US
Practice Address - Phone:816-353-4404
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-06-16
Last Update Date:2009-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty