Smith, Jake Wayne
Smith, Jake Wayne is an sole proprietor health care provider with primary practice located at 1676 Bryan Rd Ste 111 , Dardenne Prairie MO 63368-4801. He recently has 2 registered licenses in different health care specialties including Chiropractic Providers / Rehabilitation, Chiropractic Providers / Chiropractor. Chiropractic Providers / Chiropractor is his primary health care specialty. Smith, Jake Wayne can be contacted via phone (314) 800-8609.Contact Information
Primary practice address
1676 Bryan Rd Ste 111
Dardenne Prairie MO 63368-4801
Phone: (314) 800-8609
Fax: (636) 385-6507
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Chiropractic Providers / Rehabilitation | 111NR0400X | 2016043441 | Missouri |
Chiropractic Providers / Chiropractor | 111N00000X | 2016043441 | Missouri |
Profile Details
NPI number | 1376902288 |
---|---|
LBN Legal business name | Smith, Jake Wayne |
Credentials | D.C., M.S., B.S. |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Feb 19th, 2016 |
Last updated | May 30th, 2023 - about last year |
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.
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