Douglas Bouck, Sr. in Saint Louis - Chiropractor

Douglas Bouck, Sr. - NPI 1346271822

Douglas Bouck, Sr. is a Chiropractor in Saint Louis, Missouri. Douglas Bouck, Sr. practices all healthcare services and medical treatments related to Chiropractor. The NPI Number for Douglas Bouck, Sr. is 1346271822. The last update date is 2016-09-22.

Douglas Bouck, Sr.'s current location address is 11705 Gravois Rd, Saint Louis, Missouri. You can contact this provider via phone number 3148434636. The mailing address for Douglas Bouck, Sr. is 11705 Gravois Rd, Saint Louis, Missouri. To know further, please read the information below!

Provider Profile Detail

Provider Name Douglas Bouck, Sr.
Address 11705 Gravois Rd, Saint Louis, Missouri
Phone Number 3148434636
Fax Number
Sole Proprietor Y
Credentials DC

NPI Number Detail

NPI Number 1346271822
Provider Enumeration Date 2006-07-05
Last Updated Date 2016-09-22

Provider Mailing Address Detail

Address 11705 Gravois Rd
City Saint Louis
State Missouri (MO)
Post Code 631271803
Phone Number 3148434636
Fax Number

Provider's Primary Taxonomy Detail

Speciality Chiropractor
Taxonomy 111N00000X
Licence No 4788
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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FAQs about Douglas Bouck, Sr.

What is the Douglas Bouck, Sr.'s 1346271822?

The Douglas Bouck, Sr.'s NPI (National Provider Identifier) Number is 1346271822. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).

Could you please share the complete physical location address where Douglas Bouck, Sr.'s facilities are situated?

The facilities of Douglas Bouck, Sr. are physically located at the following address: 11705 Gravois Rd, Saint Louis, MO, 631271803.

What is Douglas Bouck, Sr.'s specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?

The area of specialization for Douglas Bouck, Sr. is Chiropractor, and the taxonomy code that classifies this field of practice is 111N00000X.

On what date did the Douglas Bouck, Sr. receive its 1346271822 assignment from the Centers for Medicare & Medicaid Services?

The Douglas Bouck, Sr. was assigned its 1346271822 by the Centers for Medicare & Medicaid Services on 2006-07-05.

When was the information regarding Douglas Bouck, Sr., such as address, specialty, and other details, most recently verified or confirmed to be accurate?

The information pertaining to Douglas Bouck, Sr., including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2016-09-22.

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