Leah S Owens Dc Llc | |
1433 Prospect Lakes Dr Wentzville MO 63385-4907 | |
(636) 544-2576 | |
Not Available |
Full Name | Leah S Owens Dc Llc |
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Speciality | Clinic/Center |
Location | 1433 Prospect Lakes Dr, Wentzville, Missouri |
Authorized Official Name and Position | Leah Owens (CHIROPRACTOR) |
Authorized Official Contact | 6365442576 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Leah S Owens Dc Llc 1023 Main Plaza Dr Wentzville MO 63385-1170 Ph: (636) 639-8944 | Leah S Owens Dc Llc 1433 Prospect Lakes Dr Wentzville MO 63385-4907 Ph: (636) 544-2576 |
NPI Number | 1437571122 |
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Provider Enumeration Date | 01/14/2014 |
Last Update Date | 01/14/2014 |
Medicare PECOS PAC ID | 0749411544 |
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Medicare Enrollment ID | O20140319002065 |
Identifier | Type | State | Issuer |
---|---|---|---|
1437571122 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261Q00000X | Clinic/center | 2013045695 (Missouri) | Primary |
Provider Name | Leah Schaper |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1194147900 PECOS PAC ID: 1850522640 Enrollment ID: I20140319001930 |
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