Organization
FRANKLIN COUNTY CHIROPRACTIC PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KIMBERLY ANN JACQUIN DC (PRESIDENT)
(636) 583-1380
Entity
Organization
Contact information
Practice address
100 UNION PLAZA DR, UNION, MO 63084-3145
(636) 583-1380
(636) 583-1588
Mailing address
PO BOX 148, UNION, MO 63084-0148
(636) 583-1380
(636) 583-1588
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2003011572
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
175676
BLUE CROSS GROUP PIN
MO
01
—
DB6771
RAILROAD MEDICARE GROUP PIN
MO
Enumeration date
05/19/2008
Last updated
04/14/2015
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