Johnson Chiropractic & Wellness, Llc | |
11705 Gravois Rd, Saint Louis, MO 63127-1803 | |
(636) 541-8671 | |
Not Available |
Full Name | Johnson Chiropractic & Wellness, Llc |
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Type | Facility |
Speciality | Chiropractor |
Location | 11705 Gravois Rd, Saint Louis, Missouri |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1922575828 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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111N00000X | Chiropractor | (* (Not Available)) | Primary |
Provider Name | Emily Noonan |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1811464068 PECOS PAC ID: 8426302142 Enrollment ID: I20181116000088 |
Mailing Address | Practice Location Address |
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Johnson Chiropractic & Wellness, Llc 11705 Gravois Rd, Saint Louis, MO 63127-1803 Ph: () - | Johnson Chiropractic & Wellness, Llc 11705 Gravois Rd, Saint Louis, MO 63127-1803 Ph: (636) 541-8671 |
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