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Dr. Jerry A Carpenter, DC
Chiropractor in Ballwin, Missouri
NPI 1124147806

Jerry A Carpenter is a Chiropractor based in Ballwin, MO. Jerry A Carpenter practices in Ballwin, MO and has the professional credentials of DC. The NPI Number for Jerry A Carpenter is 1124147806 and holds a License No. 4902 (Missouri).

The current practice location address for Jerry A Carpenter is 910 Kehrs Mill Rd, Ballwin, MO and can be reached out via phone at 636-391-1611 and via fax at 636-391-5856.

Location: 910 Kehrs Mill Rd, Ballwin, MO, 63011
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1124147806
Provider Name
Jerry A Carpenter
Credential
DC
Provider Entity Type
Individual
Gender
Male
Address
910 Kehrs Mill Rd, Ballwin, MO, 63011
Phone Number
636-391-1611
Fax Number
636-391-5856
Provider Enumeration Date
03/27/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
000000408712 01 MO BLUE CROSS GROUP PIN
4648 01 MO BLUE CROSS PIN
institution
Provider Business Practice Location Address Details
Address
910 Kehrs Mill Rd
City
Ballwin
State
Missouri
Zip
63011
Phone Number
636-391-1611
Fax Number
636-391-5856
person
Provider Business Mailing Address Details
Address
910 Kehrs Mill Rd
City
Ballwin
State
Missouri
Zip
63011
Phone Number
636-391-1611
Fax Number
636-391-5856
person
Provider's Taxonomy Details 1
Type
Chiropractic Providers
Classification
Chiropractor
Speciality
-
Taxonomy
111N00000X
License No.
4902 (Missouri)
Definition
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
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