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 |
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Address | 910 Kehrs Mill Rd, Ballwin, Missouri |
Phone Number | 6363911611 |
Fax Number | 6363915856 |
Sole Proprietor | Y |
Credentials | DC |
NPI Number Detail
NPI Number | 1124147806 |
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Provider Enumeration Date | 2007-03-27 |
Last Updated Date | 2008-05-21 |
Provider Mailing Address Detail
Address | 910 Kehrs Mill Rd |
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City | Ballwin |
State | Missouri (MO) |
Post Code | 63011 |
Phone Number | 6363911611 |
Fax Number | 6363915856 |
Provider's Primary Taxonomy Detail
Speciality | Chiropractor |
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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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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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