Organization · NPI-2
Carson Chiropractic LLC
Chiropractor · Joplin, MO
NPI number1114020716
StatusActive
Last updated in NPPESSep 16, 2011
Details
- NPI
- 1114020716
- Entity type
- Organization (NPI-2)
- Legal business name
- Carson Chiropractic LLC
- Organization subpart
- No
- Enumeration date
- Sep 7, 2006
- Last updated
- Sep 16, 2011
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 111N00000X | Chiropractor | 004806 | MO | Yes |
Other names
- Rodney L Carson Dc (Former Legal Business Name)
Practice location
1731 East 20thSuite B
Joplin, MO 64804
Phone 417-782-6565 · Fax 417-782-5326
Mailing address
1731 East 20thSuite B
Joplin, MO 64804
Phone 417-782-6565 · Fax 417-782-5326
Authorized official
Rodney L Carson
Owner
4177826565
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