Daryl Ridgeway Dc Llc in Wentzville - Chiropractor
Daryl Ridgeway Dc Llc - NPI 1053506097
Daryl Ridgeway Dc Llc is a Chiropractor in Wentzville, Missouri. Daryl Ridgeway Dc Llc practices all healthcare services and medical treatments related to Chiropractor. The NPI Number for Daryl Ridgeway Dc Llc is 1053506097. The last update date is 2007-09-12.
Daryl Ridgeway Dc Llc's current location address is 1023 Main Plaza Dr, Wentzville, Missouri. You can contact this provider via phone number 6366398944. The mailing address for Daryl Ridgeway Dc Llc is 1023 Main Plaza Dr, Wentzville, Missouri. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Daryl Ridgeway Dc Llc |
|---|---|
| Address | 1023 Main Plaza Dr, Wentzville, Missouri |
| Phone Number | 6366398944 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CHIROPRACT |
|---|---|
| Authorized Official Name | Ridgeway Lee Daryl |
| Credentials | DC |
| Telephone Number | 6366398944 |
NPI Number Detail
| NPI Number | 1053506097 |
|---|---|
| Provider Enumeration Date | 2007-09-12 |
| Last Updated Date | 2007-09-12 |
Provider Mailing Address Detail
| Address | 1023 Main Plaza Dr |
|---|---|
| City | Wentzville |
| State | Missouri (MO) |
| Post Code | 633851170 |
| Phone Number | 6366398944 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Chiropractor |
|---|---|
| Taxonomy | 111N00000X |
| Licence No | 6613 |
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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 Daryl Ridgeway Dc Llc's unique identification number?
The Daryl Ridgeway Dc Llc has been assigned the NPI (National Provider Identifier) Number 1053506097 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please share the complete physical location address where Daryl Ridgeway Dc Llc's facilities are situated?
The facilities of Daryl Ridgeway Dc Llc are physically located at the following address: 1023 Main Plaza Dr, Wentzville, MO, 633851170.
What is Daryl Ridgeway Dc Llc's area of expertise and its corresponding taxonomy classification?
The Daryl Ridgeway Dc Llc's field of specialization is Chiropractor, and it falls under the taxonomy code 111N00000X, which categorizes healthcare providers based on their areas of practice.
On what date did Daryl Ridgeway Dc Llc receive its 1053506097 assignment from the Centers for Medicare & Medicaid Services?
The Daryl Ridgeway Dc Llc was assigned its 1053506097 on 2007-09-12, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information regarding Daryl Ridgeway Dc Llc most recently updated?
The details pertaining to the Daryl Ridgeway Dc Llc, including its address, specialty, and other relevant information, were last refreshed on 2007-09-12.