| Back Care Clinic | |
|
5960 Howdershell Rd Ste 204, Hazelwood, MO 63042-4103 | |
| (314) 895-1136 | |
| (314) 895-5040 |
| Full Name | Back Care Clinic |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 5960 Howdershell Rd Ste 204, Hazelwood, Missouri |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699289694 | NPI | - | NPPES |
| 2013032680 | Other | MO | CHIROPRACTIC |
| 2014035392 | Other | MO | CHIROPRACTIC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | (* (Not Available)) | Primary |
| 363L00000X | Nurse Practitioner | (* (Not Available)) | Secondary |
| Provider Name | Donna M Baudendistel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417904624 PECOS PAC ID: 8325007974 Enrollment ID: I20041008000148 |
| Provider Name | Christina M Lynch |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1851726988 PECOS PAC ID: 0345471520 Enrollment ID: I20140401002247 |
| Provider Name | Candice N Coffey |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1821494550 PECOS PAC ID: 2961708268 Enrollment ID: I20160314000479 |
| Provider Name | Chad Smith |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1861967184 PECOS PAC ID: 0143568899 Enrollment ID: I20190205002618 |
| Provider Name | Alicia Storts |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043685530 PECOS PAC ID: 6800293796 Enrollment ID: I20210920001846 |
| Mailing Address | Practice Location Address |
|---|---|
| Back Care Clinic 5960 Howdershell Rd Ste 204, Hazelwood, MO 63042-4103 Ph: (314) 895-1136 | Back Care Clinic 5960 Howdershell Rd Ste 204, Hazelwood, MO 63042-4103 Ph: (314) 895-1136 |
Accident & Sports Rehab Corp Chiropractor Medicare: Medicare Enrolled Practice Location: 6307 Hazelwest Ct, Suite 100, Hazelwood, MO 63042 Phone: 314-895-3328 Fax: 314-731-4832 | |
Dr. Cathryn Ferris, DC Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 7157 N Lindbergh Blvd, Hazelwood, MO 63042 Phone: 314-731-4201 | |
Dr. Clyde Edward Foland, D.C. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 6110 Howdershell Rd, Hazelwood, MO 63042 Phone: 314-731-5300 Fax: 314-731-5300 | |
Dr. Julie Ann Stanley, D.C. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 6110 Howdershell Rd, Hazelwood, MO 63042 Phone: 314-757-6108 | |
Dr. Jessica Lauren Randazzo, DC Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 5976 Howdershell Rd Ste 104, Hazelwood, MO 63042 Phone: 636-233-8935 | |
Dr. Adam Howell, D.C. Chiropractor Medicare: May Accept Medicare Assignments Practice Location: 5960 Howdershell Rd, Suite 107, Hazelwood, MO 63042 Phone: 314-895-1200 Fax: 314-895-1201 | |
Dr. Stephen Gregory Pobst, D.C. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 6307 Hazelwest Ct, Suite 100, Hazelwood, MO 63042 Phone: 313-895-3328 Fax: 314-731-4832 |