Doctor Name: | DR. DEBORAH ANN BLAIN |
NPI Number: | 1194840173 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | CHIROPRACTOR |
License Number: | 004102 |
Business Practice Address: | 1621 Towne Dr Suite C Columbia, MO - 652023654 |
Business Phone Number: | 5734748800 |
Business Fax Number: | 5734748088 |
Mailing Address: | 1621 Towne Dr, Suite C COLUMBIA |
State: | MO |
Postal Code: | 652023654 |
Phone Number: | 5734748800 |
Fax Number: | 5734748088 |
NPI Enumeration Date: | 03/20/2007 |
NPI Last Update Date: | 03/19/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 111N00000X |
License Number: | 004102 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MO |
Taxonomy Type: | Chiropractic Providers |
Taxonomy Classification: | Chiropractor |
Taxonomy Specialization: | |
Taxonomy 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 interrelationship with other body systems. |