Organization

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)

Code

261Q00000X

Primary Taxonomy

Yes

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

Provider Address

Other Clinic/Center in Warrenton, Missouri:

Organization

Steadfast Spine And Sports Medicine Of Warrenton Llc

Warrenton, MO

Specialty: Clinic/Center (Primary)