Provider Demographics
NPI:1548017304
Name:SAWYER, MAGGIE JO (DC)
Entity type:Individual
Prefix:
First Name:MAGGIE
Middle Name:JO
Last Name:SAWYER
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:587 COUNTY ROAD 384
Mailing Address - Street 2:
Mailing Address - City:WHITEWATER
Mailing Address - State:MO
Mailing Address - Zip Code:63785-5937
Mailing Address - Country:US
Mailing Address - Phone:270-635-3052
Mailing Address - Fax:
Practice Address - Street 1:3232 INDEPENDENCE ST
Practice Address - Street 2:
Practice Address - City:CAPE GIRARDEAU
Practice Address - State:MO
Practice Address - Zip Code:63701-4904
Practice Address - Country:US
Practice Address - Phone:573-335-7349
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-05-01
Last Update Date:2024-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2024015369111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor