Carlstrom, Jessica B
Carlstrom, Jessica B is an individual health care provider with primary practice located at 1520 Parkway W , Festus MO 63028-2381. She recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as her primary health care specialty. Carlstrom, Jessica B can be contacted via phone (636) 937-0100.Contact Information
Primary practice address
1520 Parkway W
Festus MO 63028-2381
Phone: (636) 937-0100
Fax: (636) 937-0103
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Chiropractor | 111N00000X | 2002002415 | Missouri |
Profile Details
| NPI number | 1811991441 |
|---|---|
| LBN Legal business name | Carlstrom, Jessica B |
| Credentials | Doctor of Chiropractic (DC) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 10th, 2005 |
| Last updated | Nov 10th, 2011 - about 14 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1811991441 | NPPES |
| Missouri | Other | 163974 | BLUE CROSS BLUE SHIELD |
| Missouri | Other | 167537 | BLUE CROSS BLUE SHIELD |
| Missouri | Other | 516373 | BLUE CROSS BLUE SHIELD |
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