Corrections Chiropractic, LLC
Chiropractor in Wildwood, MO. Organization (NPI-2).
NPI number1548416787
StatusActive
Last updated in NPPESSep 30, 2008
Details
- NPI
- 1548416787
- Entity type
- Organization (NPI-2)
- Legal business name
- Corrections Chiropractic, LLC
- Organization subpart
- No
- Enumeration date
- Aug 7, 2008
- Last updated
- Sep 30, 2008
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 111N00000X | Chiropractor | 2005035665 | MO | Yes |
Practice location
2476 Taylor RdWildwood, MO 63040-1222
Phone 636-458-7575 · Fax 636-458-7979
Mailing address
2476 Taylor RdWildwood, MO 63040-1222
Phone 636-458-7575 · Fax 636-458-7979
Authorized official
Jonathon Edward Langenbacher
Chiropractor
6364587575
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