Organization
NEVADA CHIROPRACTIC CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JASON L. MEISENHEIMER D.C. (OWNER)
(417) 667-3699
Entity
Organization
Contact information
Practice address
200 S ALMA ST, NEVADA, MO 64772-3945
(417) 667-3699
(417) 667-3699
Mailing address
200 S ALMA ST, NEVADA, MO 64772-3945
(417) 667-3699
(417) 667-3699
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
DRC 006411
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
23118015
BLUE CROSSBLUESHIELD
MO
Enumeration date
04/16/2007
Last updated
08/22/2020
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