Dr. Jake Wayne Smith
Chiropractor Rehabilitation Chiropractor
1601 Bryan Rd
O Fallon
, Missouri 63368-4815
Dr. Jake Wayne Smith
Chiropractor Rehabilitation Chiropractor
1601 Bryan Rd
O Fallon
, Missouri 63368-4815
(314) 800-8609
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About
Features
Specialties
- Chiropractor
- Rehabilitation Chiropractor
Languages spoken
- English
Location
First Address
- Dr. Jake Wayne Smith
- 137 Shadow Pointe Dr
- Wentzville, MO
- Zip : 63385-3685
- Phone : (314) 800-8609
Second Address
- Dr. Jake Wayne Smith
- 1601 Bryan Rd
- O Fallon, MO
- Zip : 63368-4815
- Phone : (314) 800-8609
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 2016043441 | MO |
| N | 111NR0400X | Rehabilitation Chiropractor | 2016043441 | MO |
National Provider Identifier
| NPI | 1376902288 |
|---|---|
| Provider Name | Dr. Jake Wayne Smith |
| First Address | Wentzville, MO 63385-3685 |
| Second Address | O Fallon, MO 63368-4815 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 19/02/2016 |
| Last Update Date | 16/01/2019 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.