Michelle Blaskow, | |
4600 S Lindbergh Blvd, Saint Louis, MO 63127-1830 | |
(314) 729-0027 | |
(314) 729-1015 |
Full Name | Michelle Blaskow |
---|---|
Gender | Female |
Speciality | Chiropractic |
Experience | 8 Years |
Location | 4600 S Lindbergh Blvd, Saint Louis, Missouri |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1154868909 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
111N00000X | Chiropractor | 2017001197M (Missouri) | Secondary |
111N00000X | Chiropractor | 2017001197 (Missouri) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Sunset Hills Family Chiropractic Llc | 5395982342 | 5 |
Provider Name | Sunset Hills Family Chiropractic Llc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1366782088 PECOS PAC ID: 5395982342 Enrollment ID: O20130510000155 |
Provider Name | Columbia Chiropractic Center Llc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1679959225 PECOS PAC ID: 1951610443 Enrollment ID: O20151023000908 |
Mailing Address | Practice Location Address |
---|---|
Michelle Blaskow, 4600 S Lindbergh Blvd, Saint Louis, MO 63127-1830 Ph: (314) 729-0027 | Michelle Blaskow, 4600 S Lindbergh Blvd, Saint Louis, MO 63127-1830 Ph: (314) 729-0027 |
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