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CHIROPRACTIC LIFE CENTER POPLAR BLUFF PC NPI 1679887624


NPI Information

NPI: 1679887624
Provider Name: CHIROPRACTIC LIFE CENTER POPLAR BLUFF PC
Classification: Chiropractor - 111N00000X
Entity Type: Organization
Address:
408 VINE ST
POPLAR BLUFF, MO
ZIP 63901
Phone: (573) 686-1118
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CHIROPRACTIC LIFE CENTER POPLAR BLUFF PC is a chiropractor in Poplar Bluff, 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. CHIROPRACTIC LIFE CENTER POPLAR BLUFF PC NPI is 1679887624. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

408 VINE ST
POPLAR BLUFF, MO
ZIP 63901-838
Phone: (573) 686-1118
Fax: (573) 686-5109

The provider's authorized official is Steven Honomichl .
The authorized official title is President/owner and has the following contact phone number (573) 686-1118.

The enumeration date for this NPI number is 8/2/2010 and was last updated on 8/2/2010.


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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1111N00000XChiropractor005891MISSOURIYes

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: 5/5/2024

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