Mcguire Total Wellness | |
6780 Southwest Ave Saint Louis MO 63143-2624 | |
(314) 502-7637 | |
(314) 644-2309 |
Full Name | Mcguire Total Wellness |
---|---|
Speciality | Clinic/Center |
Location | 6780 Southwest Ave, Saint Louis, Missouri |
Authorized Official Name and Position | Alexander Johannes Olalani Mcguire (OWNER/CHIROPRACTOR) |
Authorized Official Contact | 3145027637 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Mcguire Total Wellness 950 Francis Pl Ste 217 Clayton MO 63105-2465 Ph: (314) 502-7637 | Mcguire Total Wellness 6780 Southwest Ave Saint Louis MO 63143-2624 Ph: (314) 502-7637 |
NPI Number | 1033741202 |
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Provider Enumeration Date | 02/06/2020 |
Last Update Date | 12/04/2023 |
Medicare PECOS PAC ID | 4688004336 |
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Medicare Enrollment ID | O20200420002285 |
Identifier | Type | State | Issuer |
---|---|---|---|
1033741202 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261Q00000X | Clinic/center | (* (Not Available)) | Primary |
Provider Name | Alexander Mcguire |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1891351193 PECOS PAC ID: 0840526588 Enrollment ID: I20190801002272 |
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