Organization · NPI-2

Affton Lemay Chiropractic Center LLC

Chiropractor · Saint Louis, MO

NPI number1205000106
StatusActive
Last updated in NPPESApr 22, 2008

Details

NPI
1205000106
Entity type
Organization (NPI-2)
Legal business name
Affton Lemay Chiropractic Center LLC
Organization subpart
No
Enumeration date
Apr 22, 2008
Last updated
Apr 22, 2008

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
111N00000X Chiropractor005518MOYes

Practice location

4006 Bayless Ave
Saint Louis, MO 63125-1314

Phone 314-631-5550

Mailing address

4006 Bayless Ave
Saint Louis, MO 63125-1314

Phone 314-631-5550

Authorized official

Edward Allen Hengel
Owner
3146315550

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