Individual provider · Type 1 NPI
Jason Corey Goodman, DC
Chiropractor · St. Charles, MO
NPI number
1912046889
Active
Practice location
27 Walnut Knoll Ct
St. Charles, MO 63304-4549
Mailing address
PO Box 8343
Chesterfield, MO 63017
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Chiropractor Primary | 111N00000X | 006691 (MO) |
Chiropractor: A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
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About NPI 1912046889
Jason Corey Goodman, DC's National Provider Identifier is 1912046889, issued on Feb 6, 2007. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in St. Charles, MO. The record was last updated on Oct 21, 2008.