| Desoto Chiropractic, P.c. | |
|
112 N Main St, De Soto, MO 63020-1709 | |
| (636) 586-4226 | |
| (636) 586-3791 |
| Full Name | Desoto Chiropractic, P.c. |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 112 N Main St, De Soto, Missouri |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053596478 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | 2004035442 (Missouri) | Primary |
| Provider Name | Jeffrey Carpenter |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1396733598 PECOS PAC ID: 9234162686 Enrollment ID: I20050915000616 |
| Mailing Address | Practice Location Address |
|---|---|
| Desoto Chiropractic, P.c. 112 N Main St, De Soto, MO 63020-1709 Ph: (636) 586-4226 | Desoto Chiropractic, P.c. 112 N Main St, De Soto, MO 63020-1709 Ph: (636) 586-4226 |
Dr. Jeffrey D Carpenter, D.C. Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 112 N Main St, De Soto, MO 63020 Phone: 636-586-4226 Fax: 636-586-3791 | |
Dr. J. Young, Llc Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 414 W Miller St, De Soto, MO 63020 Phone: 314-608-5839 Fax: 636-600-5066 | |
Dr. Jamie Jo Young, D.C. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 414 W Miller St, De Soto, MO 63020 Phone: 314-608-5839 Fax: 636-600-5066 |