Search › Missouri › 111N00000X
Jeremy Maxwell, DC
NPI 1669425070 · on the registry since 2006
Practice
- Address
- 2503 Bernadette Dr
Columbia, MO 65203 - Phone
- (573) 443-6828
- Fax
- (573) 397-6061
- Organisation at this address
- Prange Enterprises Inc
Inferred from a shared address, not stated in the registry.
Additional practice sites
- 209 N Church St, Fayette, MO
Registry record
- Primary taxonomy
- 111N00000X
111N00000X
- Also registered as
- 111N00000X
- Licence states on file
- KS, MO
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2018-12-18
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Missouri