Carroll Ross Huff, DC
Individual provider Active NPI Chiropractor · California, MO
NPI 1154425700 · NPPES record last updated Jul 29, 2009
Key facts
- NPI
- 1154425700
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Chiropractor 111N00000X
- License
- 6169 (MO)
- Practice address
- 1116 S. Oak St
California, MO 65018-1462 - Phone
- (573) 796-3777
- Fax
- (573) 796-5043
- NPI assigned
- Sep 12, 2006
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6169 | MO | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Juul Spine & Sport Chiropractic, LLC. | Current |
Accepting new patients |
Locations
1116 S Oak St
California, MO 65018
Phone (573) 796-3777
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 6169 | MO | Yes |
Addresses
Primary practice location
1116 S. Oak St
California, MO 65018-1462
Mailing address
1116 S. Oak St
California, MO 65018-1462
Phone (573) 796-3777
Other providers in California, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 29, 2009. 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.