Provider Demographics
NPI:1801193149
Name:GATEWAY 2 HEALTH INC
Entity Type:Organization
Organization Name:GATEWAY 2 HEALTH INC
Other - Org Name:CHIROPRACTIC CONNECTION
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CHIROPRACTIC PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:JON
Authorized Official - Middle Name:R
Authorized Official - Last Name:PINKSTON
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:636-346-1395
Mailing Address - Street 1:91 CHESTERFIELD MALL
Mailing Address - Street 2:
Mailing Address - City:CHESTERFIELD
Mailing Address - State:MO
Mailing Address - Zip Code:63017
Mailing Address - Country:US
Mailing Address - Phone:636-346-1395
Mailing Address - Fax:
Practice Address - Street 1:91 CHESTERFIELD MALL
Practice Address - Street 2:
Practice Address - City:CHESTERFIELD
Practice Address - State:MO
Practice Address - Zip Code:63017-4807
Practice Address - Country:US
Practice Address - Phone:636-346-1395
Practice Address - Fax:636-536-0828
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-02-23
Last Update Date:2015-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2011001253111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty