Individual
DR. JEFFREY D CARPENTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
112 N MAIN ST, DE SOTO, MO 63020-1709
(636) 586-4226
(636) 586-3791
Mailing address
112 N MAIN ST, DE SOTO, MO 63020-1709
(636) 586-4226
(636) 586-3791
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2004035442
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
199493
ANTHEM
MO
01
—
245166
GHP
MO
01
—
709890
HEALTHLINK
MO
Enumeration date
10/11/2005
Last updated
01/03/2008
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