Healthcare Provider Details

I. General information

NPI: 1316914419
Provider Name (Legal Business Name): LEANNE CAROLINE FUCHS D.C.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/07/2006
Last Update Date: 12/01/2025
Certification Date: 12/01/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

735 WAYNE 440
MILL SPRING MO
63952-8842
US

IV. Provider business mailing address

735 WAYNE 440
MILL SPRING MO
63952-8842
US

V. Phone/Fax

Practice location:
  • Phone: 217-412-0544
  • Fax:
Mailing address:
  • Phone: 217-412-0544
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number2018035973
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: