# CORE CONCEPTS CHIROPRACTIC

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

## Provider details

- **NPI number:** 1548686025
- **Authorized official:** DR. ABIGAIL T.L. NEWSOM D.C. (SOLE MEMBER)
- **Authorized official phone:** (636) 244-5223

## Contact information

- **Practice address:** 107 OLYMPIC WAY, SAINT PETERS, MO 63376-1664
- **Practice address phone:** (636) 244-5223
- **Practice address fax:** (636) 244-5224
- **Mailing address:** 107 OLYMPIC WAY, SAINT PETERS, MO 63376-1664
- **Mailing address phone:** (636) 244-5223
- **Mailing address fax:** (636) 244-5224

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111N00000X | Chiropractor | 2014002112 | MO | Yes |

## Other

- **Enumeration date:** 03/08/2014
- **Last updated:** 07/25/2019