| Chiropro Of Lake St. Louis, Llc | |
|
6257 Ronald Reagan Dr, Lake St Louis, MO 63367-2665 | |
| (636) 442-0607 | |
| (636) 625-2330 |
| Full Name | Chiropro Of Lake St. Louis, Llc |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 6257 Ronald Reagan Dr, Lake St Louis, Missouri |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922630714 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | (* (Not Available)) | Primary |
| Provider Name | Sanela Begovic |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1205857471 PECOS PAC ID: 6103868856 Enrollment ID: I20050524000398 |
| Provider Name | Robert Brandon Rice |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1174620975 PECOS PAC ID: 0840290623 Enrollment ID: I20200414000227 |
| Provider Name | Justin Matthew Gregory |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1194388959 PECOS PAC ID: 7618307752 Enrollment ID: I20200414000610 |
| Provider Name | John M Jost |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1699161646 PECOS PAC ID: 4486065141 Enrollment ID: I20201201002356 |
| Provider Name | Griffin Samuel Emmett Mcquality |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1083207914 PECOS PAC ID: 1759797525 Enrollment ID: I20210303001758 |
| Provider Name | Elizabeth Mae Mcquality |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1306431911 PECOS PAC ID: 4082021589 Enrollment ID: I20210330001069 |
| Provider Name | William Holland Northern |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1205476108 PECOS PAC ID: 8729414792 Enrollment ID: I20210817001350 |
| Provider Name | Erica Lynn Leiser |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1497422547 PECOS PAC ID: 7315335189 Enrollment ID: I20211027002284 |
| Provider Name | Amanda Elizabeth Gottman |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1366105926 PECOS PAC ID: 2163813155 Enrollment ID: I20211230000945 |
| Provider Name | Kaylei Abbigail Aslin |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1457008369 PECOS PAC ID: 4183019896 Enrollment ID: I20220316001032 |
| Provider Name | Adrian Munoz |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1902569551 PECOS PAC ID: 9739562174 Enrollment ID: I20220817001477 |
| Provider Name | Grant Theodore Gaspard |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1861950156 PECOS PAC ID: 4486026259 Enrollment ID: I20230206000965 |
| Provider Name | Wyatt Parker |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1770353427 PECOS PAC ID: 9739531187 Enrollment ID: I20240122001298 |
| Mailing Address | Practice Location Address |
|---|---|
| Chiropro Of Lake St. Louis, Llc 1231 Thouvenot Ln Ste 100, Shiloh, IL 62269-7203 Ph: (618) 234-8300 | Chiropro Of Lake St. Louis, Llc 6257 Ronald Reagan Dr, Lake St Louis, MO 63367-2665 Ph: (636) 442-0607 |
Dr. Eric Seim, D.C. Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 50 Centre On The Lk, Lake St Louis, MO 63367 Phone: 636-625-4448 Fax: 636-625-4449 | |
Heartland Healthcenter Dc Pc Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 11104 Veterans Memorial Pkwy, Lake St Louis, MO 63367 Phone: 636-625-6000 Fax: 636-625-6008 | |
Stephanie Denton Llc Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 1000 Lake Saint Louis Blvd, Suite 100, Lake St Louis, MO 63367 Phone: 636-695-4570 Fax: 636-625-4554 | |
Dr. Stephanie Heavener Denton, D.C. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 1000 Lake Saint Louis Blvd, Suite 100, Lake St Louis, MO 63367 Phone: 636-695-4570 Fax: 636-625-4554 | |
Dr. Sharon Leslie Samson, DC Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 50 Centre On The Lake, Lake St Louis, MO 63367 Phone: 636-625-4448 Fax: 636-625-4449 | |
Dr. David V Beavers, D.C. Chiropractor Medicare: Medicare Enrolled Practice Location: 11104 Veterans Memorial Pkwy, Lake St Louis, MO 63367 Phone: 636-625-6000 Fax: 636-625-6008 | |
Dr. Ryan Michael Faulkner, D.C. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 6251 Ronald Reagan Dr, Lake St Louis, MO 63367 Phone: 636-614-2139 |