Provider Demographics
NPI:1417071994
Name:PLAISANCE, DENISE S (DC)
Entity Type:Individual
Prefix:DR
First Name:DENISE
Middle Name:S
Last Name:PLAISANCE
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:141 E. LOCKWOOD
Mailing Address - Street 2:
Mailing Address - City:WEBSTER GROVES
Mailing Address - State:MO
Mailing Address - Zip Code:63119
Mailing Address - Country:US
Mailing Address - Phone:314-918-1000
Mailing Address - Fax:314-918-1048
Practice Address - Street 1:141 E. LOCKWOOD
Practice Address - Street 2:
Practice Address - City:WEBSTER GROVES
Practice Address - State:MO
Practice Address - Zip Code:63119
Practice Address - Country:US
Practice Address - Phone:314-918-1000
Practice Address - Fax:314-918-1048
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-19
Last Update Date:2009-06-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO006405111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO31937OtherBLUE CROSS BLUE SHIELD
MO431761847PLAOtherMERCY PIN
MO1032124OtherCIGNA PIN
MO285289OtherHEALTHLINK PIN
MOU59629Medicare UPIN
MO000031405Medicare PIN