| Revival Chiropractic Llc | |
|
560 Old Smizer Mill Rd, Fenton, MO 63026-3538 | |
| (636) 492-1528 | |
| (314) 597-6565 |
| Full Name | Revival Chiropractic Llc |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 560 Old Smizer Mill Rd, Fenton, Missouri |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033673389 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | (* (Not Available)) | Primary |
| Provider Name | William D Carpenter |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1225407463 PECOS PAC ID: 3971813114 Enrollment ID: I20151030001162 |
| Provider Name | Jacob Daniel Briegleb |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1033628441 PECOS PAC ID: 6608132576 Enrollment ID: I20171108003585 |
| Provider Name | Christopher Mcdaniel |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1548938368 PECOS PAC ID: 5193185692 Enrollment ID: I20230715000270 |
| Mailing Address | Practice Location Address |
|---|---|
| Revival Chiropractic Llc 560 Old Smizer Mill Rd, Fenton, MO 63026-3538 Ph: (636) 492-1528 | Revival Chiropractic Llc 560 Old Smizer Mill Rd, Fenton, MO 63026-3538 Ph: (636) 492-1528 |
Margaret Marie Freihaut, DC Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 400 Biltmore Dr Ste 407, Fenton, MO 63026 Phone: 636-305-3400 Fax: 636-305-3480 | |
Dr. Christopher Joseph Calandro, D.C. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 408 Gravois Rd, Fenton, MO 63026 Phone: 636-343-9595 Fax: 636-343-8126 | |
Lynn Fey, DC Chiropractor Medicare: Medicare Enrolled Practice Location: 1747 Smizer Station Rd Ste 4, Fenton, MO 63026 Phone: 636-825-6555 | |
Dr. John Mischel, D.C. Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 794 Gravois Bluffs Blvd Ste D, Fenton, MO 63026 Phone: 314-976-1125 | |
Cambridge Medical For Men Llc Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 900 S Highway Dr Ste 300, Fenton, MO 63026 Phone: 800-333-1980 Fax: 636-326-9735 | |
Dr. William Carpenter, DC Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 560 Old Smizer Mill Rd, Fenton, MO 63026 Phone: 636-492-1528 |