John Smith Jr, DC | |
249 Clarkson Rd, #101, Ellisville, MO 63011-2219 | |
(636) 256-0707 | |
Not Available |
Full Name | John Smith Jr |
---|---|
Gender | Male |
Speciality | Chiropractic |
Experience | 27 Years |
Location | 249 Clarkson Rd, Ellisville, Missouri |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1447288071 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
111N00000X | Chiropractor | 6547 (Missouri) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
John C Smith Jr Inc | 5698766038 | 3 |
Provider Name | John C Smith Jr Inc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1689600157 PECOS PAC ID: 5698766038 Enrollment ID: O20040524000352 |
Mailing Address | Practice Location Address |
---|---|
John Smith Jr, DC 249 Clarkson Rd # 101, Ellisville, MO 63011-2497 Ph: (636) 256-0707 | John Smith Jr, DC 249 Clarkson Rd, #101, Ellisville, MO 63011-2219 Ph: (636) 256-0707 |
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