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Organization
HEABERLIN CHIROPRACTIC & ACUPUNCTURE LLC
Active
Organization
HEABERLIN CHIROPRACTIC & ACUPUNCTURE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JACOB GLENN HEABERLIN D.C., MTAA (CEO)
(859) 893-8184
Entity
Organization
Contact information
Practice address
1201 FORUM DR STE A, ROLLA, MO 65401-2587
(573) 340-3199
(573) 426-2225
Mailing address
904 COUNTRY OAKS DR, RICHMOND, KY 40475-8492
(859) 893-8184
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2011003626
MO
111N00000X
Chiropractor
5500
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100402910
—
KY
Enumeration date
08/14/2017
Last updated
02/04/2025
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