| Organization Name: | CLARKSVILLE CHIROPRACTIC CENTER, PC |
| NPI Number: | 1538306642 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | ERIC GEARING (OWNER) |
| Mailing Address: | 122 S 3rd St Louisiana |
| State: | MO US |
| Postal Code: | 633532060 |
| Phone Number: | 5737545005 |
| Fax Number: | |
| NPI Enumeration Date: | 01/12/2009 |
| NPI Last Update Date: | 10/09/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YP2500X |
| License Number: | 2001022068 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | MO |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Professional |
| Taxonomy Definition: | |