| Schopp Chiropractic LLC | |
|
11422 Gravois Rd Suite 103 Saint Louis MO 63126-3698 | |
| (314) 843-9355 | |
| Not Available |
| Full Name | Schopp Chiropractic LLC |
|---|---|
| Speciality | Clinic/Center |
| Location | 11422 Gravois Rd, Saint Louis, Missouri |
| Authorized Official Name and Position | Mark Edward Schopp (OWNER) |
| Authorized Official Contact | 3148439355 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Schopp Chiropractic LLC 11422 Gravois Rd Suite 103 Saint Louis MO 63126-3698 Ph: (314) 843-9355 | Schopp Chiropractic LLC 11422 Gravois Rd Suite 103 Saint Louis MO 63126-3698 Ph: (314) 843-9355 |
| NPI Number | 1770999831 |
|---|---|
| Provider Enumeration Date | 07/09/2014 |
| Last Update Date | 07/28/2014 |
| Medicare PECOS PAC ID | 0042436735 |
|---|---|
| Medicare Enrollment ID | O20140801002238 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770999831 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 5281 (Missouri) | Primary |
| Provider Name | Mark E Schopp |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1801881008 PECOS PAC ID: 0446342554 Enrollment ID: I20140801002260 |
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