Provider Demographics
NPI:1073649331
Name:BEGOVIC CHIROPRACTIC HEALTH CENTER
Entity Type:Organization
Organization Name:BEGOVIC CHIROPRACTIC HEALTH CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:SANELA
Authorized Official - Middle Name:
Authorized Official - Last Name:BEGOVIC
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:314-752-5992
Mailing Address - Street 1:5218 GRAVOIS AVE
Mailing Address - Street 2:
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63116-2310
Mailing Address - Country:US
Mailing Address - Phone:314-752-5992
Mailing Address - Fax:314-351-7773
Practice Address - Street 1:5218 GRAVOIS AVE
Practice Address - Street 2:
Practice Address - City:SAINT LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63116-2310
Practice Address - Country:US
Practice Address - Phone:314-752-5992
Practice Address - Fax:314-351-7773
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-23
Last Update Date:2023-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2005000497111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty