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FAMILY WELLNESS CHIROPRACTIC LCC NPI 1104014521


NPI Information

NPI: 1104014521
Provider Name: FAMILY WELLNESS CHIROPRACTIC, LCC
Classification: Chiropractor - 111N00000X
Entity Type: Organization
Address:
355 OZARK TRAIL DR STE 9
CLAYTON-CLARKSON CENTER
ELLISVILLE, MO
ZIP 63011
Phone: (636) 527-5071
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FAMILY WELLNESS CHIROPRACTIC, LCC is a chiropractor in Ellisville, MO. The provider is 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. FAMILY WELLNESS CHIROPRACTIC, LCC NPI is 1104014521. The provider is registered as an organization entity type.

The provider's business location address is:

355 OZARK TRAIL DR STE 9
CLAYTON-CLARKSON CENTER
ELLISVILLE, MO
ZIP 63011-164
Phone: (636) 527-5071

The provider's authorized official is Carrie Ann Jardine .
The authorized official title is Owner/manager and has the following contact phone number (636) 527-5970.

The enumeration date for this NPI number is 10/10/2007 and was last updated on 10/10/2007.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261Q00000XClinic/Center2005014052MISSOURINo
2111N00000XChiropractor2005014052MISSOURIYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11649471988OTHERMISSOURINPI

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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