Organization
SKAGGS CHIROPRACTIC, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEVEN R SKAGGS D.C. (OWNER)
(417) 624-4242
Entity
Organization
Contact information
Practice address
1521 E 20TH ST, JOPLIN, MO 64804-0928
(417) 624-4242
Mailing address
1521 E 20TH ST, JOPLIN, MO 64804-0928
(417) 624-4242
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
006306
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
758505101
—
MO
05
—
9585963701
—
KS
Enumeration date
12/24/2007
Last updated
12/24/2007
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