Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111N00000X | Chiropractor | 2015002056 | MO |
NPI | 1003209149 |
---|---|
Provider Name | Joyce Megan Simpson |
First Address | Nelson, MO 65347-1009 |
Second Address | Columbia, MO 65203-5405 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/03/2015 |
Last Update Date | 27/09/2018 |