Provider Demographics
NPI:1003498999
Name:ALL SEASONS CHIROPRACTIC LLC
Entity Type:Organization
Organization Name:ALL SEASONS CHIROPRACTIC LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JENNIFER
Authorized Official - Middle Name:LYNN
Authorized Official - Last Name:ISRINGHAUSEN
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:636-284-9899
Mailing Address - Street 1:1236 N REMINGTON ST
Mailing Address - Street 2:
Mailing Address - City:CENTRALIA
Mailing Address - State:MO
Mailing Address - Zip Code:65240-1486
Mailing Address - Country:US
Mailing Address - Phone:573-969-0188
Mailing Address - Fax:
Practice Address - Street 1:1236 N REMINGTON ST
Practice Address - Street 2:
Practice Address - City:CENTRALIA
Practice Address - State:MO
Practice Address - Zip Code:65240-1486
Practice Address - Country:US
Practice Address - Phone:573-969-0188
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-04-21
Last Update Date:2021-04-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty