Organization
DOUGLASS CHIROPRACTIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JIMMIE LOUIS DOUGLASS III D.C. (OWNER)
(417) 451-1545
Entity
Organization
Contact information
Practice address
317 S WOOD ST, NEOSHO, MO 64850-1857
(417) 451-1545
(417) 451-1548
Mailing address
317 S WOOD ST, NEOSHO, MO 64850-1857
(417) 451-1545
(417) 451-1548
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2008000770
MO
Other
Enumeration date
09/24/2008
Last updated
10/15/2008
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