| Dr Veronica Tino, DC | |
|
1013 S 18th St, Saint Louis, MO 63104-2909 | |
| (314) 436-3050 | |
| Not Available |
| Full Name | Dr Veronica Tino |
|---|---|
| Gender | Female |
| Speciality | Chiropractor |
| Location | 1013 S 18th St, Saint Louis, Missouri |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205503042 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | 2020041160 (Missouri) | Primary |
| Provider Name | Lafayette Square Chiropractic Centre Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1083719447 PECOS PAC ID: 2163427634 Enrollment ID: O20060918000086 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Veronica Tino, DC 841 Hawkins Ct, Saint Louis, MO 63126-1214 Ph: (314) 800-8402 | Dr Veronica Tino, DC 1013 S 18th St, Saint Louis, MO 63104-2909 Ph: (314) 436-3050 |
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