Provider Demographics
NPI:1346427952
Name:POWER-MED INC
Entity Type:Organization
Organization Name:POWER-MED INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/CHIROPRACTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:THOMAS
Authorized Official - Middle Name:GRANT
Authorized Official - Last Name:HOBBS
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:636-296-1093
Mailing Address - Street 1:16 MUNICIPAL DR
Mailing Address - Street 2:SUITE E
Mailing Address - City:ARNOLD
Mailing Address - State:MO
Mailing Address - Zip Code:63010-1043
Mailing Address - Country:US
Mailing Address - Phone:636-296-1093
Mailing Address - Fax:636-296-5955
Practice Address - Street 1:16 MUNICIPAL DR
Practice Address - Street 2:SUITE E
Practice Address - City:ARNOLD
Practice Address - State:MO
Practice Address - Zip Code:63010-1043
Practice Address - Country:US
Practice Address - Phone:636-296-1093
Practice Address - Fax:636-296-5955
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-01-25
Last Update Date:2008-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO004790111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO124116OtherBLUE CROSS GROUP PIN
MOS23OtherCIGNA GROUP PIN
MO37617OtherGROUP HEALTH PLAN GROUP PIN