Individual
DR. DEBORAH ANN BLAIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CHIROPRACTOR
Contact information
Practice address
1621 TOWNE DR, SUITE C, COLUMBIA, MO 65202-3654
(573) 474-8800
(573) 474-8088
Mailing address
1621 TOWNE DR, SUITE C, COLUMBIA, MO 65202-3654
(573) 474-8800
(573) 474-8088
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
004102
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000471379
BLUE CROSS AND BLUE SHIE
MO
01
—
4409000
UNITED HEALTH CARE
MO
Enumeration date
03/20/2007
Last updated
03/19/2014
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