| Southwest Family Chiropractic Llc | |
|
3538 Jamieson Ave Saint Louis MO 63139-2103 | |
| (314) 647-5047 | |
| (314) 647-5047 |
| Full Name | Southwest Family Chiropractic Llc |
|---|---|
| Speciality | Clinic/center - Health Service |
| Location | 3538 Jamieson Ave, Saint Louis, Missouri |
| Authorized Official Name and Position | Robert T Foy (OWNER) |
| Authorized Official Contact | 3146475047 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Southwest Family Chiropractic Llc 3538 Jamieson Ave Saint Louis MO 63139-2103 Ph: (314) 647-5047 | Southwest Family Chiropractic Llc 3538 Jamieson Ave Saint Louis MO 63139-2103 Ph: (314) 647-5047 |
| NPI Number | 1306128269 |
|---|---|
| Provider Enumeration Date | 09/15/2011 |
| Last Update Date | 05/21/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306128269 | NPI | - | NPPES |
| $$$$$$$$$ | Other | NY | SSN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 2002005721 (Missouri) | Secondary |
| 261QH0100X | Clinic/center - Health Service | 2002005721 (Missouri) | Primary |
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