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Organization

DICARLO CHIROPRACTIC CENTER P C

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JOSEPH ANTHONY DI CARLO D.C. (PRESIDENT)
(636) 949-5700
Entity
Organization

Contact information

Practice address
56 PORTWEST CT, SAINT CHARLES, MO 63303-5985
(636) 949-5800
(636) 916-3735
Mailing address
56 PORTWEST CT, SAINT CHARLES, MO 63303-5985
(636) 949-5800
(636) 916-3735

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CE 0005624
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000031566
MEDICARE PTAN
MO
Enumeration date
10/26/2011
Last updated
04/25/2023
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