Organization Name: | ST. JOSEPH CHIROPRACTIC LLC |
NPI Number: | 1558578534 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | CRAIG MATTOX (OWNER) |
Mailing Address: | 2335 N Belt Hwy Ste. A Saint Joseph |
State: | MO US |
Postal Code: | 645065040 |
Phone Number: | 8162790700 |
Fax Number: | 8162794442 |
NPI Enumeration Date: | 05/17/2007 |
NPI Last Update Date: | 09/28/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 111N00000X |
License Number: | 2000156760 |
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. |