Healthcare Provider Details

I. General information

NPI: 1922316454
Provider Name (Legal Business Name): KARE CHIROPRACTIC INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/17/2010
Last Update Date: 09/17/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3899 MID RIVERS MALL DR
SAINT PETERS MO
63376-2870
US

IV. Provider business mailing address

3899 MID RIVERS MALL DR
SAINT PETERS MO
63376-2870
US

V. Phone/Fax

Practice location:
  • Phone: 636-936-3613
  • Fax: 636-936-8069
Mailing address:
  • Phone: 636-936-3613
  • Fax: 636-936-8069

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111NI0013X
TaxonomyIndependent Medical Examiner Chiropractor
License Number006217
License Number StateMO

VIII. Authorized Official

Name: MRS. PAM A MAKAREWICZ
Title or Position: PRESIDENT/OWNER
Credential:
Phone: 636-352-9406