Provider Demographics
NPI:1770752016
Name:SPEAR, EMILY (DC)
Entity type:Individual
Prefix:DR
First Name:EMILY
Middle Name:
Last Name:SPEAR
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:707 JEFFERSON ST
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:MO
Mailing Address - Zip Code:63090-2709
Mailing Address - Country:US
Mailing Address - Phone:636-239-1220
Mailing Address - Fax:636-239-0331
Practice Address - Street 1:707 JEFFERSON ST
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:MO
Practice Address - Zip Code:63090-2709
Practice Address - Country:US
Practice Address - Phone:636-239-1220
Practice Address - Fax:636-239-0331
Is Sole Proprietor?:Yes
Enumeration Date:2008-02-20
Last Update Date:2014-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2008001508171100000X, 111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
No171100000XOther Service ProvidersAcupuncturist