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DR. JESSE DANIEL POLITOWSKI D.C.
>> Chiropractor >> Chiropractic ProvidersRegistrant NPI Number: 1144656448
Individual Registrant:DR. JESSE DANIEL POLITOWSKI D.C.
Gender: M
Sole Proprietor
Gender: M
Sole Proprietor
Location and contact information for practice:
8005 MACKENZIE ROAD AFFTON, MO 63123-3518 US
Tel: 314-353-4500 Fax: --
Tel: 314-353-4500 Fax: --
Contact information for business:
8005 MACKENZIE ROAD AFFTON, MO 63123-3518 US
Tel: 314-353-4500 Fax: --
Tel: 314-353-4500 Fax: --
Registration Information:
NPI: 1144656448
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 111N00000X | Chiropractic Providers Chiropractor | MO | 2013033420 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
