Jaclyn L Hoelscher, DC

Individual provider Active NPI Chiropractor · Weldon Spring, MO

NPI 1467587667 · NPPES record last updated Mar 2, 2011

Key facts

NPI
1467587667
Entity type
Individual (NPI type 1)
Primary specialty
Chiropractor 111N00000X
License
2003027783 (MO)
Practice address
6034 Young Dr
Weldon Spring, MO 63304-9103
Phone
(636) 329-8774
Fax
(636) 329-8977
NPI assigned
Feb 21, 2007
Sex
Female
Sole proprietor
Yes

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes

Practice roles

OrganizationSpecialtyStatusNew patients
Health Care Practice Consultants Chiropractor Past Accepting new patients
Just Chiropractic, P.C. Chiropractor Past Accepting new patients
Direct Connection Chiropractic, LLC Chiropractor Past
since Jan 1, 2007
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2003027783 MO Yes

Addresses

Primary practice location

6034 Young Dr
Weldon Spring, MO 63304-9103

Mailing address

6034 Young Dr
Weldon Spring, MO 63304-9103
Phone (636) 329-8774

Other identifiers

IdentifierTypeStateIssuer
153320001OtherMOMEDICARE PTAN
571653OtherMOANTHEM
184456OtherMOBLUE CROSS BLUE SHIELD
4009837OtherMOCIGNA
663537OtherMOUNITED HEALTHCARE

Other providers in Weldon Spring, MO

All providers in Weldon Spring, MO · Chiropractor in Missouri

Sources for this page

Verify at the official NPI Registry.