| Healthsource Of Ballwin | |
|
431 Lafayette Ctr, Manchester, MO 63011-3943 | |
| (636) 220-1007 | |
| Not Available |
| Full Name | Healthsource Of Ballwin |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 431 Lafayette Ctr, Manchester, Missouri |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578062899 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | (* (Not Available)) | Primary |
| Provider Name | Chad J Doles |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1477826048 PECOS PAC ID: 2466611561 Enrollment ID: I20181025000839 |
| Provider Name | Wyatt Mohrmann |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1043916695 PECOS PAC ID: 5395195176 Enrollment ID: I20231219003600 |
| Mailing Address | Practice Location Address |
|---|---|
| Healthsource Of Ballwin 431 Lafayette Ctr, Manchester, MO 63011-3943 Ph: (362) 201-0076 | Healthsource Of Ballwin 431 Lafayette Ctr, Manchester, MO 63011-3943 Ph: (636) 220-1007 |
Dr. Anthony Pasek, D.C. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 201 Enchanted Pkwy, Manchester, MO 63021 Phone: 636-227-4151 | |
Dr. Wyatt Steven Mohrmann, DC Chiropractor Medicare: Medicare Enrolled Practice Location: 431 Lafayette Ctr, Manchester, MO 63011 Phone: 636-220-1007 | |
Dr. Patrick Harmon Fox, DC Chiropractor Medicare: May Accept Medicare Assignments Practice Location: 134 Enchanted Pkwy Ste 134, Manchester, MO 63021 Phone: 636-227-8888 Fax: 636-227-8888 | |
Dr. Joshua Paul Tonnies, D.C. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 15507 Manchester Rd, Manchester, MO 63011 Phone: 636-527-3015 | |
Jeffrey Michael Merkt, Chiropractor Medicare: Medicare Enrolled Practice Location: 431 Lafayette Ctr, Manchester, MO 63011 Phone: 636-220-1007 | |
Dr Dana E Alter Lc Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 134 Enchanted Parkway, Suite 104, Manchester, MO 63021 Phone: 636-227-8888 Fax: 636-227-8888 | |
Dr. Roy Edward Brown Jr., D.C. Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 14349 Manchester Rd, Manchester, MO 63011 Phone: 636-230-3783 Fax: 636-230-9032 |