Provider Demographics
NPI:1538301924
Name:DENISE S PLAISANCE DCPC
Entity Type:Organization
Organization Name:DENISE S PLAISANCE DCPC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DENISE
Authorized Official - Middle Name:S
Authorized Official - Last Name:PLAISANCE
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:314-918-1000
Mailing Address - Street 1:141 E LOCKWOOD AVE
Mailing Address - Street 2:
Mailing Address - City:WEBSTER GROVES
Mailing Address - State:MO
Mailing Address - Zip Code:63119-3002
Mailing Address - Country:US
Mailing Address - Phone:314-918-1000
Mailing Address - Fax:314-918-1048
Practice Address - Street 1:141 E LOCKWOOD AVE
Practice Address - Street 2:
Practice Address - City:WEBSTER GROVES
Practice Address - State:MO
Practice Address - Zip Code:63119-3002
Practice Address - Country:US
Practice Address - Phone:314-918-1000
Practice Address - Fax:314-918-1048
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-03-31
Last Update Date:2009-06-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO132958OtherBLUE CROSS GROUP
MO132958OtherBLUE CROSS GROUP