Provider Demographics
NPI:1114560448
Name:EMPOWER CHIROPRACTIC LLC
Entity Type:Organization
Organization Name:EMPOWER CHIROPRACTIC LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:
Authorized Official - Last Name:CALHOUN
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:636-556-0256
Mailing Address - Street 1:2951 DOUGHERTY FERRY RD STE 104
Mailing Address - Street 2:
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63122-3373
Mailing Address - Country:US
Mailing Address - Phone:636-556-0256
Mailing Address - Fax:636-552-4802
Practice Address - Street 1:2951 DOUGHERTY FERRY RD STE 104
Practice Address - Street 2:
Practice Address - City:SAINT LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63122-3373
Practice Address - Country:US
Practice Address - Phone:636-556-0256
Practice Address - Fax:636-552-4802
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-10-18
Last Update Date:2019-10-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty