Doctor Name: | DR. JEFF LEE DAVIE |
NPI Number: | 1831185818 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | D.C. |
License Number: | CE006572 |
Business Practice Address: | 1181 S State Route 157 Suite 200c Edwardsville, IL - 620253710 |
Business Phone Number: | 6182884100 |
Business Fax Number: | 6183073283 |
Mailing Address: | 916 Talon Dr, Suite 102 O FALLON |
State: | IL |
Postal Code: | 622691848 |
Phone Number: | 6186288211 |
Fax Number: | 6186280883 |
NPI Enumeration Date: | 09/23/2005 |
NPI Last Update Date: | 10/29/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 111N00000X |
License Number: | CE006572 |
Healthcare Provider Taxonomy: (Secondary) | N |
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. |