Organization
FAMILY WELLNESS CHIROPRACTIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CARRIE ANN JARDINE DC (OWNER)
(314) 607-1038
Entity
Organization
Contact information
Practice address
2109 WOODLET PARK DR, CHESTERFIELD, MO 63017-5034
(314) 607-2231
Mailing address
2109 WOODLET PARK DR, CHESTERFIELD, MO 63017-5034
(314) 607-1038
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2005014052
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1649471988
INDIVIDUAL NPI
MO
Enumeration date
05/07/2015
Last updated
05/07/2015
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