DR. JACOB DEWAYNE LEWALLEN (NPI# 1710500061) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710500061 |
| Entity Type | Individual |
| Full Name | DR. JACOB DEWAYNE LEWALLEN |
| Credential | DC |
| Practice Address |
714 State Highway 248 Ste 503 Branson MO 65616-3761 |
| Mailing Address |
1351 Tilden Rd Galena MO 65656-8633 |
| Practice Telephone | 4178727728 |
| Mailing Telephone | 4178727728 |
| Enumeration Date | 2020-05-21 |
| Last Update Date | 2020-05-21 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 2020012893 | MO | Chiropractic Providers |
| Street Address |
714 STATE HIGHWAY 248 STE 503 |
| City | BRANSON |
| State | MO |
| Zip Code | 65616-3761 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538567938 | Tracy Lynn Douthard | Physical Therapist | 714 State Highway 248 Ste 503, Branson, MO 65616 | 2014-12-17 |
| 1790308054 | Fully Known Chiropractic | Chiropractor | 714 State Highway 248 Ste 503, Branson, MO 65616-3761 | 2020-05-21 |
| 1730675885 | Douthard Physical Therapy LLC | Clinic/Center | 714 State Highway 248 Ste 503, Branson, MO 65616-3761 | 2018-07-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700495959 | Lester E Cox Medical Centers | Nurse Practitioner | 935 P Rd 65-60, Branson, MO 65616 | 2020-07-23 |
| 1184286379 | Michelle Le Short | Massage Therapist | 3000 Green Mountain Dr Ste 104, Branson, MO 65616 | 2019-07-08 |
| 1912462912 | Thomas George Brett | General Practice | 800 Missouri 248, Building 3 Suite A, Branson, MO 65616 | 2019-02-04 |
| 1619414539 | Brittany N Wright | Physical Therapist | 813 S Business Us Highway 65, Branson, MO 65616 | 2017-01-30 |
| 1184018632 | Christopher Amundsen | Orthopaedic Surgery | 448 State Highway 248, Branson, MO 65616 | 2015-03-23 |
| 1952707838 | Regginold Prescott Lucas | Technician | 220 Everest Circle, Apt 4, Branson, MO 65616 | 2014-11-05 |
| 1174958094 | Morghan Olson | Chiropractor | 813 S. Business Us Highway 65, Branson, MO 65616 | 2013-09-10 |
| 1164864336 | Branson Braces LLC | Dentist | 168 S. Payne Stewart Dr., Ste 100, Branson, MO 65616 | 2013-07-29 |
| 1528400173 | Emologic Clinic, LLC | Registered Nurse | 500 W. Main, Ste 204, Branson, MO 65616 | 2013-07-24 |
| 1295173946 | Missouri Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 105 Loyd St, Branson, MO 65616 | 2013-06-04 |
| Find all providers in zip 65616 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699186320 | Health Centers of Missouri, LLC | Chiropractor | 1232 Branson Hills Pkwy Ste 202, Branson, MO 65616-4188 | 2014-05-15 |
| 1174958094 | Morghan Olson | Chiropractor | 813 S. Business Us Highway 65, Branson, MO 65616 | 2013-09-10 |
| 1205061058 | Maryam Boushehri | Chiropractor | 231 Lancashire Dr, Branson, MO 65616-3405 | 2009-05-22 |
| 1558535328 | Zach T Vahldick | Chiropractor | 2001 State Highway 248 Ste 6, Branson, MO 65616-4513 | 2008-04-14 |
| 1164695284 | Scott Gamm | Chiropractor | 136 Spring Creek Rd, Branson, MO 65616-8623 | 2008-04-09 |
| 1235334509 | Whole Health Chiropractic, LLC | Chiropractor | 3000 Green Mountain Dr, 109, Branson, MO 65616-3814 | 2007-06-18 |
| 1477762086 | Everett G Johnson IIi | Chiropractor | 521 Animal Safari Rd, Branson, MO 65616-9003 | 2007-05-21 |
| 1720111032 | Jerod M Hill | Chiropractor | 800 St. Hwy 248, Ste. 2-d, Branson, MO 65616-4078 | 2007-03-14 |
| 1487786984 | Ralph Joseph Leblanc | Chiropractor | 113 E Long St, Branson, MO 65616-3019 | 2007-03-10 |
| 1932253283 | Tri-lakes Chiropractic Clinic PC | Chiropractor | 2404 State Highway 248 Ste 3, Branson, MO 65616-9627 | 2007-01-23 |
| Find all providers in BRANSON | ||||
Please comment or provide details below to improve the information on DR. JACOB DEWAYNE LEWALLEN.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.