Chiro One Wellness Center Of Ellisville LLC
Chiropractor in Chesterfield, MO. Organization (NPI-2).
NPI number1023636636
StatusActive
Last updated in NPPESMar 20, 2023
Details
- NPI
- 1023636636
- Entity type
- Organization (NPI-2)
- Legal business name
- Chiro One Wellness Center Of Ellisville LLC
- Organization subpart
- No
- Enumeration date
- Jul 9, 2020
- Certification date
- Mar 20, 2023
- Last updated
- Mar 20, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 111N00000X | Chiropractor | – | – | Yes |
Practice location
15876 Fountain Plaza DrChesterfield, MO 63017-7469
Phone 630-468-1824
Mailing address
2625 Butterfield Rd Ste 301nOak Brook, IL 60523-1266
Phone 630-468-1824
Authorized official
Stuart Bernsen
Ceo
6303206400
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