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Organization

FERRELL CHIROPRACTIC, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JOSH FERRELL DC (OWNER/PROVIDER)
(618) 628-4488
Entity
Organization

Contact information

Practice address
310 E HIGHWAY 50, SUITE 2, O FALLON, IL 62269-2700
(618) 628-4488
(618) 628-4474
Mailing address
310 E HIGHWAY 50, SUITE 2, O FALLON, IL 62269-2700
(618) 628-4488
(618) 628-4474

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
038010902
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
PENDING
PENDING
IL
Enumeration date
01/23/2008
Last updated
09/15/2008
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