Organization
FASKEN CHIROPRACTIC AND WELLNESS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHAYNA LOREN FASKEN DC (MEMBER)
(573) 442-8959
Entity
Organization
Contact information
Practice address
2501 W ASH ST, SUITE B, COLUMBIA, MO 65203-4609
(573) 442-8959
(573) 443-8959
Mailing address
2501 W ASH ST, SUITE B, COLUMBIA, MO 65203-4609
(573) 442-8959
(573) 443-8959
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Enumeration date
06/21/2012
Last updated
12/10/2012
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