Chiropractic Life Center Poplar Bluff PC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

005891 Issued in MO

Legal business name

CHIROPRACTIC LIFE CENTER POPLAR BLUFF PC

Practice address

408 Vine St
Poplar Bluff, MO 63901-5838

Phone

(573) 686-1118

Fax

(573) 686-5109

NPI assigned

Aug 2, 2010

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Steven Honomichl, D.C.

Title

President/Owner

Phone

(573) 686-1118

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Eda Danielle Deaton, LMT

  • Massage Therapist
  • Poplar Bluff, MO
  • NPI 1689071276
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1280707200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1280707200000",
    "number": "1679887624",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "408 VINE ST",
            "city": "POPLAR BLUFF",
            "state": "MO",
            "postal_code": "639015838",
            "telephone_number": "573-686-1118",
            "fax_number": "573-686-5109"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "408 VINE ST",
            "city": "POPLAR BLUFF",
            "state": "MO",
            "postal_code": "639015838",
            "telephone_number": "573-686-1118",
            "fax_number": "573-686-5109"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHIROPRACTIC LIFE CENTER POPLAR BLUFF PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-02",
        "last_updated": "2010-08-02",
        "status": "A",
        "authorized_official_last_name": "HONOMICHL",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "573-686-1118",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MO",
            "license": "005891",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kaylee Nicole Cheek
• Imran Q Cheema, M.D.
• John Patrick Chervenak, M.R.C., C.R.C., L.P.
• Children'S Clinic
• Patricia Irene Chinburg
• Nichole Lynn Chism
• Shahid K Choudhary, M.D.
• Chelsea Danielle Chrisman
• Ashley Talisa Christian
• Jennifer Sue Christman

• Chiropractor in Poplar Bluff, MO
• Providers in Poplar Bluff, MO by specialty
• Chiropractor in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.