Carpenter, Jerry A
Carpenter, Jerry A is an sole proprietor health care provider with primary practice located at 910 Kehrs Mill Rd Suite 102, Ballwin MO 63011. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Carpenter, Jerry A can be contacted via phone (636) 391-1611.Contact Information
Primary practice address
910 Kehrs Mill Rd Suite 102
Ballwin MO 63011
Phone: (636) 391-1611
Fax: (636) 391-5856
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Chiropractor | 111N00000X | 4902 | Missouri |
Profile Details
| NPI number | 1124147806 |
|---|---|
| LBN Legal business name | Carpenter, Jerry A |
| Credentials | Doctor of Chiropractic (DC) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 27th, 2007 |
| Last updated | May 21st, 2008 - about 16 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 | 1124147806 | NPPES |
| Missouri | Other | 000000408712 | BLUE CROSS GROUP PIN |
| Missouri | Other | 4648 | BLUE CROSS GROUP PIN |
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