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Individual
DR. JEFFREY D CARPENTER
Active
Individual
DR. JEFFREY D CARPENTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2004035442
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
199493
ANTHEM
MO
01
—
245166
GHP
MO
01
—
709890
HEALTHLINK
MO
Enumeration date
10/11/2005
Last updated
01/03/2008
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