Provider Demographics
NPI:1336253574
Name:PAPPAS CHIROPRACTIC HEALTH CENTER, P.C.
Entity type:Organization
Organization Name:PAPPAS CHIROPRACTIC HEALTH CENTER, P.C.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CHIROPRACTOR
Authorized Official - Prefix:
Authorized Official - First Name:PHILIP
Authorized Official - Middle Name:CHRIST
Authorized Official - Last Name:PAPPAS
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:573-243-5095
Mailing Address - Street 1:PO BOX 437
Mailing Address - Street 2:
Mailing Address - City:JACKSON
Mailing Address - State:MO
Mailing Address - Zip Code:63755-0437
Mailing Address - Country:US
Mailing Address - Phone:573-243-5095
Mailing Address - Fax:
Practice Address - Street 1:3130 E. JACKSON BLVD.
Practice Address - Street 2:
Practice Address - City:JACKSON
Practice Address - State:MO
Practice Address - Zip Code:63755-2958
Practice Address - Country:US
Practice Address - Phone:573-243-5095
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-17
Last Update Date:2022-12-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral PracticeGroup - Multi-Specialty
No111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty