Sport And Spine Chiropractic Center Llc
Clinic/Center in Warrenton, MO(View on Map)
Legal Business Name
Sport And Spine Chiropractic Center Llc
NPI Number
1083934517
NPI Type
Organization
Enumeration Date
06/07/2010
Specialties
(Taxonomies)Licenses
State
Missouri
License Number
2006030811
Contact
Information
Purpose
Mailing
Location
Address
810 E HIGHWAY M
810 E HIGHWAY M
City
Warrenton
Warrenton
State
MO
MO
Postal Code
63383-2215
63383-2215
Country
US
US
Telephone Number
(636) 456-2966
(636) 456-2966
Authorized Official
Name
Dr. Ginger Sharp
Title or Position
CFO
Telephone Number
(636) 456-2966
Identifiers
Identifier
1699975995
1730253659
Identifier State
MO
MO
Identifier Issuer
INDIVIDUAL NPI (JOSHUA D. SHARP, D.C.)
INDIVIDUAL NPI (GINGER SHARP, D.C.)
Provider data last refreshed from NPPES NPI registry on 11/19/2024
Data last updated by provider on 06/07/2010