Provider Demographics
NPI:1740469915
Name:CITRIN, JOAN M (DC)
Entity type:Individual
Prefix:DR
First Name:JOAN
Middle Name:M
Last Name:CITRIN
Suffix:
Gender:F
Credentials:DC
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Mailing Address - Street 1:3797 OSAGE BEACH PARKWAY
Mailing Address - Street 2:SUITE A3D
Mailing Address - City:OSAGE BEACH
Mailing Address - State:MO
Mailing Address - Zip Code:65065
Mailing Address - Country:US
Mailing Address - Phone:573-348-5050
Mailing Address - Fax:573-302-7308
Practice Address - Street 1:3797 OSAGE BEACH PARKWAY
Practice Address - Street 2:SUITE A3A
Practice Address - City:OSAGE BEACH
Practice Address - State:MO
Practice Address - Zip Code:65065
Practice Address - Country:US
Practice Address - Phone:573-348-5050
Practice Address - Fax:573-302-7308
Is Sole Proprietor?:Yes
Enumeration Date:2007-10-24
Last Update Date:2013-07-02
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MO004158111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor