Jerry A Carpenter in Ballwin - Chiropractor

Jerry A Carpenter - NPI 1124147806

Jerry A Carpenter is a Chiropractor in Ballwin, Missouri. Jerry A Carpenter practices all healthcare services and medical treatments related to Chiropractor. The NPI Number for Jerry A Carpenter is 1124147806. The last update date is 2008-05-21.

Jerry A Carpenter's current location address is 910 Kehrs Mill Rd, Ballwin, Missouri. You can contact this provider via phone number 6363911611 and fax number 6363915856. The mailing address for Jerry A Carpenter is 910 Kehrs Mill Rd, Ballwin, Missouri. To know further, please read the information below!

Provider Profile Detail

Provider Name Jerry A Carpenter
Address 910 Kehrs Mill Rd, Ballwin, Missouri
Phone Number 6363911611
Fax Number 6363915856
Sole Proprietor Y
Credentials DC

NPI Number Detail

NPI Number 1124147806
Provider Enumeration Date 2007-03-27
Last Updated Date 2008-05-21

Provider Mailing Address Detail

Address 910 Kehrs Mill Rd
City Ballwin
State Missouri (MO)
Post Code 63011
Phone Number 6363911611
Fax Number 6363915856

Provider's Primary Taxonomy Detail

Speciality Chiropractor
Taxonomy 111N00000X
Licence No 4902
Definition:
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 inte

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
408712 MO BLUE CROSS GROUP PIN
4648 MO BLUE CROSS PIN

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FAQs about Jerry A Carpenter

What is the unique identification code assigned to Jerry A Carpenter by the Centers for Medicare & Medicaid Services?

The Jerry A Carpenter has been issued the NPI (National Provider Identifier) 1124147806. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Where is the Jerry A Carpenter located?

The Jerry A Carpenter is located at 910 Kehrs Mill Rd, Ballwin, MO 63011.

What is Jerry A Carpenter's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for Jerry A Carpenter is Chiropractor, and the taxonomy code that categorizes this field of expertise is 111N00000X.

On what date was the 1124147806 assigned to Jerry A Carpenter?

The Jerry A Carpenter was issued its 1124147806 on 2007-03-27, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.

When was the information pertaining to Jerry A Carpenter most recently updated or revised?

The details related to Jerry A Carpenter, including its address, specialty, and other relevant information, were last updated or revised on 2008-05-21.

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