TERRY CHIROPRACTIC CLINIC, LTD (NPI# 1043351596) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1043351596 |
Entity Type | Organization |
Organization Name | TERRY CHIROPRACTIC CLINIC, LTD |
Practice Address |
1415 E Third St Centralia IL 62801-4401 |
Mailing Address |
1415 E 3rd St Centralia IL 62801-4401 |
Practice Telephone | 6185325432 |
Practice Fax Number | 6185321103 |
Mailing Telephone | 6185325432 |
Mailing Fax Number | 6185321103 |
Enumeration Date | 2007-02-09 |
Last Update Date | 2020-08-22 |
Authorized Official Name | DR. MARK W TERRY (PRESIDENT) |
Authorized Official Telephone | 6185325432 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 111N00000X | Chiropractor | IL | Chiropractic Providers |
Street Address |
1415 E THIRD ST |
City | CENTRALIA |
State | IL |
Zip Code | 62801-4401 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1356996151 | Matthew Crawford | Counselor | 904 E Martin Luther King Dr, Centralia, IL 62801 | 2019-08-08 |
1588130314 | Kennah White | Counselor | 904 E. Mlk Drive, Centralia, IL 62801 | 2018-10-19 |
1245721588 | Lindsey Nicole Fogliasso | Counselor | 904 East Mlk Dr., Centralia, IL 62801 | 2018-05-22 |
1629573365 | Prabhat Shrestha | Student in an Organized Health Care Education/Training Program | 605 Sable Drive, Centralia, IL 62801 | 2018-03-26 |
1619496098 | Whitney Rathmann | Speech-Language Pathologist | 224 South Locust, Centralia, IL 62801 | 2017-09-17 |
1376082685 | Athena A Smith | Counselor | 904 E. Martin Luther King Dr, Centralia, IL 62801 | 2017-02-20 |
1447704069 | Meghan Branch | Counselor | 904 Martin Luther King Dr, Centralia, IL 62801 | 2016-08-11 |
1568820637 | Midland Area Agency On Aging | Case Management | 434 S Poplar Street, Centralia, IL 62801 | 2016-02-04 |
1104201714 | Keri Douglas | Nurse Practitioner | 1054 M. L. King Drive #125, Centrailia, IL 62801 | 2015-07-24 |
1215331509 | Melissa Dane | Counselor | 904 E Martin Luther King Dr., Centralia, IL 62801 | 2014-10-15 |
Find all providers in zip 62801 |
Taxonomy Code | 111N00000X |
Grouping | Chiropractic Providers |
Classification | Chiropractor |
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1689846537 | Randal Dean Huhmann | Chiropractor | 204 E Sneed St, Centralia, MO 65240-1354 | 2008-04-01 |
1154448371 | John Harvard Stiltner | Chiropractor | 1218 Harrison Avenue, Centralia, WA 98531 | 2007-03-23 |
1538284310 | Brenda M Viznaugh-milton | Chiropractor | 201 N Rock St, Centralia, WA 98531-4339 | 2007-03-20 |
1144353483 | Family Chiropractic Inc | Chiropractor | 1101 Mellen St, Centralia, WA 98531-1173 | 2007-03-14 |
1306979026 | Centralia Chiropractic, Inc | Chiropractor | 120 W Magnolia St, Centralia, WA 98531-4316 | 2007-03-13 |
1013044908 | Chad N Mills | Chiropractor | 1102 Kresky Ave, Centralia, WA 98531-3732 | 2007-02-27 |
1770637332 | Brown Chiropractic Wellness Center | Chiropractor | 201 W Switzler St, Suite 1, Centralia, MO 65240-1035 | 2007-01-22 |
1619024650 | Dana Lee Mathis | Chiropractor | 211 S Perrine Ave, Centralia, IL 62801-3635 | 2007-01-04 |
1417010109 | John E Bridges | Chiropractor | 624 Hunt St, Centralia, WA 98531-1005 | 2006-12-18 |
1114099629 | Kurt S Williams | Chiropractor | 315 North Elm, Centralia, IL 62801 | 2006-11-14 |
Find all providers in CENTRALIA |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.