Organization
SARAH HICKEY DC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SARAH HICKEY D.C. (REGISTERED AGENT/MANAGER OF LLC)
(314) 277-4858
Entity
Organization
Contact information
Practice address
1023 MAIN PLAZA DR, WENTZVILLE, MO 63385-1170
(314) 277-4858
Mailing address
815 HARDING ST, SAINT PETERS, MO 63376-2415
(314) 277-4858
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2012030947
MO
Other
Enumeration date
09/10/2012
Last updated
09/10/2012
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