Individual provider · NPI-1
Steven M Carlson, DC
Chiropractor · Joplin, MO
NPI number1184620809
StatusActive
Last updated in NPPESJun 2, 2009
Details
- NPI
- 1184620809
- Entity type
- Individual (NPI-1)
- Name
- Steven M Carlson
- Credential
- DC
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jun 27, 2005
- Last updated
- Jun 2, 2009
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 111N00000X | Chiropractor | MO 20306306 | MO | Yes |
Practice location
2318 E 32nd StreetSuite B
Joplin, MO 64804-0923
Phone 417-781-6300 · Fax 417-781-5309
Mailing address
2318 E 32nd StreetSuite B
Joplin, MO 64804-0923
Phone 417-781-6300 · Fax 417-781-5309
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