Organization
MIDWEST CHIROPRACTIC CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JACOB G. HEABERLIN DC (MEMBER)
(573) 426-4300
Entity
Organization
Contact information
Practice address
1081 E 18TH ST, SUITE A, ROLLA, MO 65401-2448
(573) 426-4300
(573) 426-2009
Mailing address
2001 LAKESHORE DR, CUBA, MO 65453-9687
(573) 426-4300
(573) 426-2009
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2011003626
MO
Other
Enumeration date
08/30/2012
Last updated
08/30/2012
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