Provider Demographics
NPI:1104576016
Name:DAY ONE CHIROPRACTIC LLC
Entity type:Organization
Organization Name:DAY ONE CHIROPRACTIC LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIROPRACTIC PHYSICIAN
Authorized Official - Prefix:
Authorized Official - First Name:MEGAN
Authorized Official - Middle Name:
Authorized Official - Last Name:MONTGOMERY-NIBBE
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:573-772-5451
Mailing Address - Street 1:1907 N WESTWOOD BLVD
Mailing Address - Street 2:
Mailing Address - City:POPLAR BLUFF
Mailing Address - State:MO
Mailing Address - Zip Code:63901-2807
Mailing Address - Country:US
Mailing Address - Phone:573-772-5451
Mailing Address - Fax:
Practice Address - Street 1:1907 N WESTWOOD BLVD
Practice Address - Street 2:
Practice Address - City:POPLAR BLUFF
Practice Address - State:MO
Practice Address - Zip Code:63901-2807
Practice Address - Country:US
Practice Address - Phone:573-772-5451
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-03-24
Last Update Date:2022-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty