Individual
JACOB SCHAAKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
5252 MEXICO ROAD, ST. PETERS, MO 63376
(636) 978-5111
Mailing address
2530 HIGHWAY K, O FALLON, MO 63368-6625
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2022049133
MO
Other
Enumeration date
12/27/2022
Last updated
08/13/2023
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