Healthcare Provider Details

I. General information

NPI: 1245469816
Provider Name (Legal Business Name): JANET YARGER D.C.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/04/2009
Last Update Date: 06/13/2022
Certification Date: 06/13/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

510 BAXTER RD STE 10N
CHESTERFIELD MO
63017-7032
US

IV. Provider business mailing address

510 BAXTER RD STE 10N
CHESTERFIELD MO
63017-7032
US

V. Phone/Fax

Practice location:
  • Phone: 636-220-3335
  • Fax: 636-220-3336
Mailing address:
  • Phone: 636-207-6600
  • Fax: 636-207-6631

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number2008037679
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: