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Organization

CHARLES A MAURER DC PC

Active
Other names
Family Back and Neck Care Centre
Organization subpart
No

Provider details

NPI number
Authorized official
CHARLES A MAURER D.C. P.C. (CHIROPRACTOR)
(417) 889-2225
Entity
Organization

Contact information

Practice address
3100 S NATIONAL AVE STE 100, SPRINGFIELD, MO 65807-7347
(417) 889-2225
(417) 889-1253
Mailing address
3100 S NATIONAL AVE STE 100, SPRINGFIELD, MO 65807-7347
(417) 889-2225
(417) 889-1253

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
000006508
MO
111N00000X
Chiropractor
2006014817
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
123088
ACA
MO
01
1235166455
INDIVIDUAL NPI
MO
01
1316904352
INDIVIDUAL NPI
MO
01
18140
BLUE CROSS BLUE SHIELD
MO
01
609614
ACN
MO
Enumeration date
07/21/2006
Last updated
10/07/2024
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