Provider Demographics
NPI:1730378597
Name:MEHRINGER CHIROPRACTIC, LLC
Entity type:Organization
Organization Name:MEHRINGER CHIROPRACTIC, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIROPRACTOR
Authorized Official - Prefix:
Authorized Official - First Name:BRETT
Authorized Official - Middle Name:MICHAEL
Authorized Official - Last Name:MEHRINGER
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:636-239-5252
Mailing Address - Street 1:1809 HERITAGE HILLS DR
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:MO
Mailing Address - Zip Code:63090-4624
Mailing Address - Country:US
Mailing Address - Phone:636-239-5252
Mailing Address - Fax:
Practice Address - Street 1:1809 HERITAGE HILLS DR
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:MO
Practice Address - Zip Code:63090-4624
Practice Address - Country:US
Practice Address - Phone:636-239-5252
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-10-17
Last Update Date:2007-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2002022350111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty