Boonville Chiropractic LLC
Organization Active NPI Clinic/Center · Boonville, MO
NPI 1154090710 · NPPES record last updated Sep 8, 2021
Key facts
- NPI
- 1154090710
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Clinic/Center 261Q00000X
- Legal business name
- BOONVILLE CHIROPRACTIC LLC
- Practice address
- 321 Main St
Boonville, MO 65233-1565 - Phone
- (660) 882-5775
- NPI assigned
- Sep 8, 2021
- Organization subpart
- No
Authorized official
- Name
- Tanner Green, DC, ATC
- Title
- Owner
- Phone
- (660) 537-4773
Practitioners 1
-
David Wayne Holtwick, D.C.
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinic/Center | 261Q00000X | Yes |
Addresses
Primary practice location
321 Main St
Boonville, MO 65233-1565
Mailing address
321 Main St
Boonville, MO 65233-1565
Phone (660) 882-5775
Other providers in Boonville, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 8, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.