Healthcare Provider Details

I. General information

NPI: 1346270394
Provider Name (Legal Business Name): ABCS OF WELLNESS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/04/2006
Last Update Date: 03/03/2020
Certification Date: 03/03/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

139 E US HIGHWAY 54 STE 1C
CAMDENTON MO
65020-7320
US

IV. Provider business mailing address

139 E. HWY 54, 1C
CAMDENTON MO
65020-2621
US

V. Phone/Fax

Practice location:
  • Phone: 573-348-3050
  • Fax:
Mailing address:
  • Phone: 573-348-3050
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number2002024753
License Number StateMO

VIII. Authorized Official

Name: DR. KARIN G BURMEISTER
Title or Position: CHIROPRACTOR
Credential: D.C.
Phone: 573-346-3050