Provider Demographics
NPI:1093106619
Name:WINFIELD CHIROPRACTIC LLC
Entity Type:Organization
Organization Name:WINFIELD CHIROPRACTIC LLC
Other - Org Name:IGNITE HEALTH
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CHIROPRACTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:JOSEPH
Authorized Official - Last Name:HAMMERLING
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:314-550-9630
Mailing Address - Street 1:10 EAGLE AVE
Mailing Address - Street 2:
Mailing Address - City:WINFIELD
Mailing Address - State:MO
Mailing Address - Zip Code:63389-3441
Mailing Address - Country:US
Mailing Address - Phone:636-566-8888
Mailing Address - Fax:636-566-8880
Practice Address - Street 1:10 EAGLE AVE
Practice Address - Street 2:
Practice Address - City:WINFIELD
Practice Address - State:MO
Practice Address - Zip Code:63389-3441
Practice Address - Country:US
Practice Address - Phone:636-566-8888
Practice Address - Fax:636-566-8880
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-02-18
Last Update Date:2020-09-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2013013534111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty