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Contact Information

COVENANT INTEGRATIVE WELLNESS, LLC
1022 NORTHEAST DR
SUITE B
JEFFERSON CITY, MO65109-2513
 Phone: 816-898-6939
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Chiropractor - Nutrition

111NN1001X 35 Chiropractic
Indicates primary specialty

NPI Profile & details for COVENANT INTEGRATIVE WELLNESS LLC · (Female)

NPI # 1427593375
Status Active
Credentials
Entity Individual
Enumeration date 01/02/2017
Last updated 01/02/2017 - About 9 years ago
Sole proprietor 1 Not specified
Identifiers
  • MO License # 2011000683
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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