Provider Demographics
NPI:1518478361
Name:J&L PAINSTOP OF ARNOLD LLC
Entity Type:Organization
Organization Name:J&L PAINSTOP OF ARNOLD LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:JUSTIN
Authorized Official - Middle Name:
Authorized Official - Last Name:HILL
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:314-230-9044
Mailing Address - Street 1:4434 S LINDBERGH BLVD
Mailing Address - Street 2:
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63127-1647
Mailing Address - Country:US
Mailing Address - Phone:314-230-9044
Mailing Address - Fax:636-287-3440
Practice Address - Street 1:4434 S LINDBERGH BLVD
Practice Address - Street 2:
Practice Address - City:SAINT LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63127-1647
Practice Address - Country:US
Practice Address - Phone:314-230-9044
Practice Address - Fax:636-287-3440
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-10-19
Last Update Date:2018-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationGroup - Multi-Specialty
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty