# JACOB BRIEGLEB, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1376053421
- **Authorized official:** DR. JACOB DANIEL BRIEGLEB DC (CHIROPRACTOR)
- **Authorized official phone:** (314) 437-5008

## Contact information

- **Practice address:** 10807 BIG BEND RD, SAINT LOUIS, MO 63122-6054
- **Practice address phone:** (314) 437-5008
- **Practice address fax:** (314) 909-1605
- **Mailing address:** 10807 BIG BEND RD, SAINT LOUIS, MO 63122-6054
- **Mailing address phone:** (314) 437-5008
- **Mailing address fax:** (314) 909-1605

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111N00000X | Chiropractor | 2017031981 | MO | Yes |

## Other

- **Enumeration date:** 10/03/2017
- **Last updated:** 10/03/2017