| Suiter Chiropractic Clinic Llc | |
|
15320 Manchester Rd, Ellisville, MO 63011-3027 | |
| (636) 227-4378 | |
| Not Available |
| Full Name | Suiter Chiropractic Clinic Llc |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 15320 Manchester Rd, Ellisville, Missouri |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366732174 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | 004150 (Missouri) | Primary |
| Provider Name | Leonard R Suiter |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1598896896 PECOS PAC ID: 1052400397 Enrollment ID: I20071210000177 |
| Mailing Address | Practice Location Address |
|---|---|
| Suiter Chiropractic Clinic Llc 15320 Manchester Rd, Ellisville, MO 63011-3027 Ph: (636) 227-4378 | Suiter Chiropractic Clinic Llc 15320 Manchester Rd, Ellisville, MO 63011-3027 Ph: (636) 227-4378 |
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