Midwest Chiropractic Center LLC

NPI #1023367471 in Rolla, Missouri

Provider Information

NPI Number: 1023367471
Entity Type: Organization
Organization Name: Midwest Chiropractic Center LLC
Primary Specialty: Chiropractor
Enumeration Date: Aug 30, 2012
Last Updated: Aug 30, 2012

Practice Location

Address: 1081 E 18TH ST
Address 2: SUITE A
City: Rolla
State: Missouri
ZIP Code: 65401-2448
Phone: (573) 426-4300

Authorized Official

Name: DR. JACOB G. HEABERLIN, DC
Title: MEMBER
Phone: (573) 426-4300

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor	111N00000X	Primary

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