Organization
CORRECTIONS CHIROPRACTIC, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JONATHON EDWARD LANGENBACHER D.C. (CHIROPRACTOR)
(636) 458-7575
Entity
Organization
Contact information
Practice address
2476 TAYLOR RD, WILDWOOD, MO 63040-1222
(636) 458-7575
(636) 458-7979
Mailing address
2476 TAYLOR RD, WILDWOOD, MO 63040-1222
(636) 458-7575
(636) 458-7979
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2005035665
MO
Other
Enumeration date
08/07/2008
Last updated
09/30/2008
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