| De Geer Health & Wellness, Llc | |
|
777 S New Ballas Rd Ste 218e Creve Coeur MO 63141-8718 | |
| (314) 541-8188 | |
| Not Available |
| Full Name | De Geer Health & Wellness, Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 777 S New Ballas Rd Ste 218e, Creve Coeur, Missouri |
| Authorized Official Name and Position | Christopher De Geer (OWNER) |
| Authorized Official Contact | 3145418188 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| De Geer Health & Wellness, Llc 391 Palermo Dr Ballwin MO 63021-6450 Ph: () - | De Geer Health & Wellness, Llc 777 S New Ballas Rd Ste 218e Creve Coeur MO 63141-8718 Ph: (314) 541-8188 |
| NPI Number | 1649784810 |
|---|---|
| Provider Enumeration Date | 11/27/2017 |
| Last Update Date | 11/27/2017 |
| Medicare PECOS PAC ID | 3779826060 |
|---|---|
| Medicare Enrollment ID | O20190530002125 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649784810 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 2015014313 (Missouri) | Primary |
| Provider Name | Christopher M De Geer |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1437532231 PECOS PAC ID: 0749582476 Enrollment ID: I20160112001526 |
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