Back Pain Institute Of St. Louis, Llc in Bridgeton - Chiropractor
Back Pain Institute Of St. Louis, Llc - NPI 1477659217
Back Pain Institute Of St. Louis, Llc is a Chiropractor in Bridgeton, Missouri. Back Pain Institute Of St. Louis, Llc practices all healthcare services and medical treatments related to Chiropractor. The NPI Number for Back Pain Institute Of St. Louis, Llc is 1477659217. The last update date is 2008-02-05.
Back Pain Institute Of St. Louis, Llc's current location address is 11903 Saint Charles Rock Rd, Bridgeton, Missouri. You can contact this provider via phone number 3147700900 and fax number 3147398569. The mailing address for Back Pain Institute Of St. Louis, Llc is 11903 Saint Charles Rock Rd, Bridgeton, Missouri. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Back Pain Institute Of St. Louis, Llc |
|---|---|
| Address | 11903 Saint Charles Rock Rd, Bridgeton, Missouri |
| Phone Number | 3147700900 |
| Fax Number | 3147398569 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Gilbertson K Harold |
| Credentials | DC |
| Telephone Number | 3147700900 |
NPI Number Detail
| NPI Number | 1477659217 |
|---|---|
| Provider Enumeration Date | 2006-09-16 |
| Last Updated Date | 2008-02-05 |
Provider Mailing Address Detail
| Address | 11903 Saint Charles Rock Rd |
|---|---|
| City | Bridgeton |
| State | Missouri (MO) |
| Post Code | 630442623 |
| Phone Number | 3147700900 |
| Fax Number | 3147398569 |
Provider's Primary Taxonomy Detail
| Speciality | Chiropractor |
|---|---|
| Taxonomy | 111N00000X |
| Licence No | 3647 |
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Definition: 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 inte |
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What is the unique identifier code issued to Back Pain Institute Of St. Louis, Llc by the Centers for Medicare & Medicaid Services?
The Back Pain Institute Of St. Louis, Llc has been assigned the NPI (National Provider Identifier) 1477659217. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where Back Pain Institute Of St. Louis, Llc is physically located?
The Back Pain Institute Of St. Louis, Llc is physically situated at the following address: 11903 Saint Charles Rock Rd, Bridgeton, MO, 630442623.
What is Back Pain Institute Of St. Louis, Llc's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Back Pain Institute Of St. Louis, Llc is Chiropractor, and the corresponding taxonomy classification code for this specialized field is 111N00000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1477659217 to Back Pain Institute Of St. Louis, Llc?
The Centers for Medicare & Medicaid Services assigned the 1477659217 to Back Pain Institute Of St. Louis, Llc on 2006-09-16.
As of what date were the details pertaining to Back Pain Institute Of St. Louis, Llc last refreshed?
The information related to the Back Pain Institute Of St. Louis, Llc, including its address, specialty, and other relevant details, was last updated on 2008-02-05.