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NPI Code Detail

MEDICARE: DR. JACLYN L HOELSCHER DC

MEDICARE:  DR. JACLYN L HOELSCHER  DC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1111N00000XChiropractor2003027783MO

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1153320001OTHERMOMEDICARE PTAN

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2571653OTHERMOANTHEM
3184456OTHERMOBLUE CROSS BLUE SHIELD
44009837OTHERMOCIGNA
5663537OTHERMOUNITED HEALTHCARE

General Provider Information

NPI Number : 1467587667
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JACLYN L HOELSCHER DC
Provider Business Mailing Address
First Line : 6034 YOUNG DR
Second Line :
City : WELDON SPRING
State : MO
Zip : 63304-9103
Country : US
Telephone Number : 636-329-8774
Fax Number : 636-329-8977
Provider Business Practice Location Address
First Line : 6034 YOUNG DR
Second Line :
City : WELDON SPRING
State : MO
Zip : 63304-9103
Country : US
Telephone Number : 636-329-8774
Fax Number : 636-329-8977
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/21/2007
Last Update Date : 03/02/2011

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Directions to “ DR. JACLYN L HOELSCHER DC” Practice Location

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