Individual
DR. DANIEL J FAHNESTOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
269 S JEFFERSON AVE, MARSHALL, MO 65340-2134
(660) 886-6903
(660) 886-6904
Mailing address
269 S JEFFERSON AVE, MARSHALL, MO 65340-2134
(660) 886-6903
(660) 886-6904
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
003184
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0380101
BLUE CROSS BLUE SHIELD
—
01
—
115444
HEALTHLINK
—
Enumeration date
06/28/2006
Last updated
05/30/2008
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