Provider Demographics
NPI:1811042104
Name:DU CHIEN, ORIN WESLEY JR (DC)
Entity Type:Individual
Prefix:DR
First Name:ORIN
Middle Name:WESLEY
Last Name:DU CHIEN
Suffix:JR
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:18751 STATE HIGHWAY 148
Mailing Address - Street 2:
Mailing Address - City:PICKERING
Mailing Address - State:MO
Mailing Address - Zip Code:64476-8119
Mailing Address - Country:US
Mailing Address - Phone:660-927-0464
Mailing Address - Fax:660-927-0416
Practice Address - Street 1:18751 STATE HIGHWAY 148
Practice Address - Street 2:
Practice Address - City:PICKERING
Practice Address - State:MO
Practice Address - Zip Code:64476-8119
Practice Address - Country:US
Practice Address - Phone:660-927-0464
Practice Address - Fax:660-927-0416
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-24
Last Update Date:2010-10-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2000163570111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
MOU12281OtherUPIN
MOP00103731OtherRAILROAD MEDICARE
MOU12281OtherUPIN