Chiropractic Accident Center Of Fenton, P.C. in Fenton - Chiropractor

Chiropractic Accident Center Of Fenton, P.C. - NPI 1538288048

Chiropractic Accident Center Of Fenton, P.C. is a Chiropractor in Fenton, Missouri. Chiropractic Accident Center Of Fenton, P.C. practices all healthcare services and medical treatments related to Chiropractor. The NPI Number for Chiropractic Accident Center Of Fenton, P.C. is 1538288048. The last update date is 2018-06-28.

Chiropractic Accident Center Of Fenton, P.C.'s current location address is 408 Gravois Rd, Fenton, Missouri. You can contact this provider via phone number 6363439595 and fax number 6363438126. The mailing address for Chiropractic Accident Center Of Fenton, P.C. is 408 Gravois Rd, Fenton, Missouri. To know further, please read the information below!

Provider Profile Detail

Provider Organization Chiropractic Accident Center Of Fenton, P.C.
Address 408 Gravois Rd, Fenton, Missouri
Phone Number 6363439595
Fax Number 6363438126
Sole Proprietor --
Credentials --

Authorized Official

Title or Position OFFICE MAN
Authorized Official Name Nolan Lesa
Telephone Number 6363439595

NPI Number Detail

NPI Number 1538288048
Provider Enumeration Date 2007-03-28
Last Updated Date 2018-06-28

Provider Mailing Address Detail

Address 408 Gravois Rd
City Fenton
State Missouri (MO)
Post Code 630264133
Phone Number 6363439595
Fax Number 6363438126

Provider's Primary Taxonomy Detail

Speciality Chiropractor
Taxonomy 111N00000X
Licence No 5984
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

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
17425 MO ANTHEM BLUE CROSS BLUE SH

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FAQs about Chiropractic Accident Center Of Fenton, P.C.

What is the unique identifier code issued to Chiropractic Accident Center Of Fenton, P.C. by the Centers for Medicare & Medicaid Services (CMS)?

The Chiropractic Accident Center Of Fenton, P.C. has been assigned the NPI (National Provider Identifier) 1538288048. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Could you please share the complete physical location address where Chiropractic Accident Center Of Fenton, P.C.'s facilities are situated?

The facilities of Chiropractic Accident Center Of Fenton, P.C. are physically located at the following address: 408 Gravois Rd, Fenton, MO, 630264133.

What is Chiropractic Accident Center Of Fenton, P.C.'s specialized area of practice, and what is the corresponding taxonomy classification code for this field?

The Chiropractic Accident Center Of Fenton, P.C.'s specialized field of practice is Chiropractor, and the corresponding taxonomy code that categorizes this area of specialization is 111N00000X.

When was the Chiropractic Accident Center Of Fenton, P.C.'s 1538288048 issued?

The Chiropractic Accident Center Of Fenton, P.C.'s 1538288048 was issued on 2007-03-28.

As of what date was the information regarding Chiropractic Accident Center Of Fenton, P.C., such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Chiropractic Accident Center Of Fenton, P.C., including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2018-06-28.

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