Provider Demographics
NPI:1336123082
Name:FIQUET, LOUIS ALBERT III (DC)
Entity Type:Individual
Prefix:DR
First Name:LOUIS
Middle Name:ALBERT
Last Name:FIQUET
Suffix:III
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:206 N MACON ST
Mailing Address - Street 2:
Mailing Address - City:BEVIER
Mailing Address - State:MO
Mailing Address - Zip Code:63532-1059
Mailing Address - Country:US
Mailing Address - Phone:660-773-6777
Mailing Address - Fax:
Practice Address - Street 1:206 N MACON ST
Practice Address - Street 2:
Practice Address - City:BEVIER
Practice Address - State:MO
Practice Address - Zip Code:63532-1059
Practice Address - Country:US
Practice Address - Phone:660-773-6777
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2005-12-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO006232111N00000X
MO094373163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered111N00000XChiropractic ProvidersChiropractor
Not Answered163W00000XNursing Service ProvidersRegistered Nurse
Provider Identifiers
StateIdentifier IDID TypeIssuer
MOP4400469OtherUNITED HEALTH CARE
261666OtherHEALTHLINK
35005432OtherMEDICARE RAILROAD
141086OtherBLUE CROSS / BLUE SHIELD
141086OtherBLUE CROSS / BLUE SHIELD
U49400Medicare UPIN