Doctor Name: | JACOB DALE WOOKEY |
NPI Number: | 1215986021 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | D.C. |
License Number: | 06885 |
Business Practice Address: | 630 Terra West Dr Freeport, IL - 610324536 |
Business Phone Number: | 8152357858 |
Business Fax Number: | 8152357913 |
Mailing Address: | 1615 Summit Dr, STOCKTON |
State: | IL |
Postal Code: | 610859126 |
Phone Number: | 8159473320 |
Fax Number: | 8159473380 |
NPI Enumeration Date: | 05/09/2006 |
NPI Last Update Date: | 10/23/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 111N00000X |
License Number: | 06885 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IA |
Taxonomy Type: | Chiropractic Providers |
Taxonomy Classification: | Chiropractor |
Taxonomy Specialization: | |
Taxonomy Definition: | 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. |