Organization Name: | DI CARLO CHIROPRACITC CENTER, PC |
NPI Number: | 1831475425 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JOSEPH ANTHONY DI CARLO (PRESIDENT) |
Mailing Address: | 56 Portwest Ct Saint Charles |
State: | MO US |
Postal Code: | 633035985 |
Phone Number: | 6369495800 |
Fax Number: | 6369163735 |
NPI Enumeration Date: | 10/26/2011 |
NPI Last Update Date: | 10/26/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 111N00000X |
License Number: | CE 0005624 |
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. |