Provider Demographics
NPI:1598822710
Name:VISHION, ERNEST A (DC)
Entity Type:Individual
Prefix:DR
First Name:ERNEST
Middle Name:A
Last Name:VISHION
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1585 WOODLAKE DR
Mailing Address - Street 2:SUITE 214
Mailing Address - City:CHESTERFIELD
Mailing Address - State:MO
Mailing Address - Zip Code:63017-5740
Mailing Address - Country:US
Mailing Address - Phone:314-205-8858
Mailing Address - Fax:314-205-1802
Practice Address - Street 1:1585 WOODLAKE DR
Practice Address - Street 2:SUITE 214
Practice Address - City:CHESTERFIELD
Practice Address - State:MO
Practice Address - Zip Code:63017-5740
Practice Address - Country:US
Practice Address - Phone:314-205-8858
Practice Address - Fax:314-205-1802
Is Sole Proprietor?:No
Enumeration Date:2007-01-03
Last Update Date:2023-12-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2006012230111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor