Daniel Leroy Coogan in Saint Peters - Chiropractor

Daniel Leroy Coogan - NPI 1619037652

Daniel Leroy Coogan is a Chiropractor in Saint Peters, Missouri. Daniel Leroy Coogan practices all healthcare services and medical treatments related to Chiropractor. The NPI Number for Daniel Leroy Coogan is 1619037652. The last update date is 2023-02-14.

Daniel Leroy Coogan's current location address is 235 Jungermann Rd, Saint Peters, Missouri. You can contact this provider via phone number 6369287387 and fax number 6369281269. The mailing address for Daniel Leroy Coogan is 235 Jungermann Rd, Saint Peters, Missouri. To know further, please read the information below!

Provider Profile Detail

Provider Name Daniel Leroy Coogan
Address 235 Jungermann Rd, Saint Peters, Missouri
Phone Number 6369287387
Fax Number 6369281269
Sole Proprietor Y
Credentials D.C.

NPI Number Detail

NPI Number 1619037652
Provider Enumeration Date 2006-12-11
Last Updated Date 2023-02-14

Provider Mailing Address Detail

Address 235 Jungermann Rd
City Saint Peters
State Missouri (MO)
Post Code 633765364
Phone Number 6369287387
Fax Number 6369281269

Provider's Primary Taxonomy Detail

Speciality Chiropractor
Taxonomy 111N00000X
Licence No 5306
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
289020 MO GHP
4409509 MO UHC
6593160002 MO CIGNA
756872206 MO --
192 MO GATEWAY EDI
109583 MO HEALTHLINK
19328 MO ABCBS

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FAQs about Daniel Leroy Coogan

What is the Daniel Leroy Coogan's unique identification number?

The Daniel Leroy Coogan has been assigned the NPI (National Provider Identifier) Number 1619037652 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Could you please provide the complete physical location address of Daniel Leroy Coogan?

The Daniel Leroy Coogan is physically situated at 235 Jungermann Rd, in the city of Saint Peters, state of MO, with the postal code 633765364.

What is Daniel Leroy Coogan's specialized field of practice, and what is the corresponding taxonomy classification code?

The Daniel Leroy Coogan's area of specialization is Chiropractor, and the corresponding taxonomy code that categorizes this field of practice is 111N00000X.

On what date did Daniel Leroy Coogan receive its 1619037652 assignment from the Centers for Medicare & Medicaid Services?

The Daniel Leroy Coogan was assigned its 1619037652 on 2006-12-11, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

As of what date were the details related to Daniel Leroy Coogan most recently updated or revised?

The information pertaining to Daniel Leroy Coogan, including its address, specialty, and other relevant details, was last updated or revised on 2023-02-14.

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