Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Jason Martin

Individual provider Chiropractor · NPI 1083210504

Jason Martin is a Chiropractor in Rockford, Illinois. Practices as a sole proprietor. Licensed in Wisconsin.

Licensed in
WI
In the registry since
2020
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Practice location Address checks out

6435 Weaver Rd
Rockford, IL 61114-8109
Phone: (815) 543-1549
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Chiropractor (primary) Taxonomy 111N00000X · Licence 5483-12 (WI)

Record details

NPI number1083210504
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedDecember 9, 2020
Last updated in NPPESDecember 9, 2020
Certification dateDecember 9, 2020
Mailing address6435 Weaver Rd, Rockford, IL 61114-8109

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