BRENT C SMOLA, PC (NPI# 1902090400) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1902090400 |
Entity Type | Organization |
Organization Name | BRENT C SMOLA, PC |
Other Organization Name | SMOLA FAMILY CHIROPRACTIC |
Practice Address |
655 Clinic Rd Ste. 205 Hannibal MO 63401-3647 |
Practice Telephone | 5732480258 |
Practice Fax Number | 5732480187 |
Enumeration Date | 2007-08-28 |
Last Update Date | 2007-08-28 |
Authorized Official Name | DR. BRENT C SMOLA (OWNER) |
Authorized Official Telephone | 5732480258 |
Authorized Official Credential | D.C. |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 111N00000X | Chiropractor | 2000152185 | MO | Chiropractic Providers |
Other Name | Type Code |
---|---|
Smola Family Chiropractic | Doing Business As Name - Organization |
Street Address |
655 CLINIC RD STE. 205 |
City | HANNIBAL |
State | MO |
Zip Code | 63401-3647 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1700150976 | Lisa Marie Russell | Dentist | 655 Clinic Rd, Suite 110, Hannibal, MO 63401-3647 | 2012-03-05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1255981064 | Amanda Lynn Jennings | Nurse Practitioner | Hannibal Clinic, 100 Medical Drive, Hannibal, MO 63401 | 2019-09-13 |
1316452295 | Hannibal Regional Healthcare System, Inc | Hospice Care, Community Based | 6401 Hwy Mm, Hannibal, MO 63401 | 2017-12-13 |
1932614351 | Sidney M Johnson | Counselor | 1221 Broadway St, Hannibal, MO 63401 | 2017-12-07 |
1316467210 | Jessica Baker | Counselor | 4355 Paris Gravel Road, Hannibal, MO 63401 | 2017-06-21 |
1346787066 | Hands Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 17 Settlerstrail, Hannibal, MO 63401 | 2017-01-20 |
1134571672 | Pamela Barrigar | Social Worker | 4600 Mcmasters Ave, Hannibal, MO 63401 | 2016-07-08 |
1639540677 | Jessica Murfin | Speech-Language Pathologist | 544 N Veterans Rd, Hannibal, MO 63401 | 2015-10-16 |
1366835639 | Cpo Services, Inc. | Prosthetic/Orthotic Supplier | 8965 Highway 36 Ste 3, Hannibal, MO 63401 | 2015-03-11 |
1639324254 | Hannibal Medical Supplies, LLC | Durable Medical Equipment & Medical Supplies | 118 Steam Boat Bend, Hannibal, MO 63401 | 2008-11-24 |
1780856112 | Barbara Belle Smith | Social Worker | 3700 Hwy Mm, Hannibal, MO 63401 | 2008-03-26 |
Find all providers in zip 63401 |
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 |
---|---|---|---|---|
1124156880 | Larry Gene Anderson | Chiropractor | 7 Melgrove Ln, Ste 101, Hannibal, MO 63401-2275 | 2007-03-02 |
1336280809 | Franklin Lawrence Perkins II | Chiropractor | 365 Fulton St, Hannibal, NY 13074 | 2007-02-09 |
1891898359 | James Robbie Robertson | Chiropractor | 2918 Saint Marys Ave, Hannibal, MO 63401-3715 | 2006-09-07 |
1740390871 | John A Dennehy Jr. | Chiropractor | 15 Northport Plz, Hannibal, MO 63401-2269 | 2006-08-30 |
1659488260 | Matthew Lee Sorell | Chiropractor | 400 Mark Twain Ave, Hannibal, MO 63401-3249 | 2006-08-23 |
1033223508 | Brent C Smola | Chiropractor | 655 Clinic Rd Ste 205, Hannibal, MO 63401-3647 | 2006-08-19 |
1306843487 | Stephen Lee Sankpill | Chiropractor | 2830 Market St, Hannibal, MO 63401-5852 | 2005-07-05 |
1023622925 | Jennifer Lynn Hazlak Montross | Chiropractor | 15 Northport Plz, Hannibal, MO 63401-2269 | 2020-09-08 |
1538632849 | Perkins Chiropractic, Pllc | Chiropractor | 365 Fulton St, Hannibal, NY 13074-2101 | 2019-01-09 |
1316231749 | Matthew Michael Klemm | Chiropractor | 7 Melgrove Ln, Suite 101, Hannibal, MO 63401-2275 | 2011-06-02 |
Find all providers in HANNIBAL |
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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.