Provider Demographics
NPI:1568101020
Name:CHEN CHIROPRACTIC & ASSOCIATES LLC
Entity Type:Organization
Organization Name:CHEN CHIROPRACTIC & ASSOCIATES LLC
Other - Org Name:ZENITH CHIROPRACTIC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:HEAD DOCTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:GORDON
Authorized Official - Middle Name:L
Authorized Official - Last Name:CHEN
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:314-282-7186
Mailing Address - Street 1:6484 CLAYTON AVE # 1E
Mailing Address - Street 2:
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63139-3329
Mailing Address - Country:US
Mailing Address - Phone:314-282-7186
Mailing Address - Fax:
Practice Address - Street 1:6484 CLAYTON AVE # 1E
Practice Address - Street 2:
Practice Address - City:SAINT LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63139-3329
Practice Address - Country:US
Practice Address - Phone:314-282-7186
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-06-02
Last Update Date:2022-06-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center