Pro Active Chiropractic Center Pc | |
1 E Broadway Ste C1, Columbia, MO 65203-4205 | |
(573) 607-2727 | |
Not Available |
Full Name | Pro Active Chiropractic Center Pc |
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Type | Facility |
Speciality | Chiropractor |
Location | 1 E Broadway Ste C1, Columbia, Missouri |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1750560751 | NPI | - | NPPES |
000014883 | Other | MO | MEDICARE GROUP |
Taxonomy | Type | License (State) | Status |
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111N00000X | Chiropractor | 2002004526 (Missouri) | Primary |
Provider Name | John Stiffey |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1346211992 PECOS PAC ID: 2769498591 Enrollment ID: I20060302000348 |
Mailing Address | Practice Location Address |
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Pro Active Chiropractic Center Pc 219 S Main St, Palmyra, MO 63461-1649 Ph: (573) 769-2400 | Pro Active Chiropractic Center Pc 1 E Broadway Ste C1, Columbia, MO 65203-4205 Ph: (573) 607-2727 |
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