Provider Demographics
NPI:1336328087
Name:DRURY CHIROPRACTIC AND FAMILY WELLNESS LLC
Entity Type:Organization
Organization Name:DRURY CHIROPRACTIC AND FAMILY WELLNESS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIROPRACTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:JENNIFER
Authorized Official - Middle Name:L
Authorized Official - Last Name:DRURY
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:573-483-3733
Mailing Address - Street 1:PO BOX 197
Mailing Address - Street 2:
Mailing Address - City:BLOOMSDALE
Mailing Address - State:MO
Mailing Address - Zip Code:63627-0197
Mailing Address - Country:US
Mailing Address - Phone:573-483-3733
Mailing Address - Fax:573-483-3735
Practice Address - Street 1:92 MILL HILL RD
Practice Address - Street 2:
Practice Address - City:BLOOMSDALE
Practice Address - State:MO
Practice Address - Zip Code:63627
Practice Address - Country:US
Practice Address - Phone:573-483-3733
Practice Address - Fax:573-483-3735
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-10-30
Last Update Date:2007-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty