Individual
MR. JEFFREY D RUTHERFORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
10035 PAGE AVE, SAINT LOUIS, MO 63132-1432
(314) 426-4424
(314) 890-2410
Mailing address
11 FOUR WINDS DR, SAINT PETERS, MO 63376-1134
(314) 426-4424
(314) 890-2410
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2000150379
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
157639
BLUE CROSS PIN
MO
01
—
4400266
UNITED HEALTHCARE
MO
01
—
481262
HEALTHLINK PIN
MO
Enumeration date
08/31/2006
Last updated
02/12/2009
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