Provider Demographics
NPI:1891351193
Name:MCGUIRE, ALEXANDER JOHANNES OLALANI (DC)
Entity Type:Individual
Prefix:
First Name:ALEXANDER
Middle Name:JOHANNES OLALANI
Last Name:MCGUIRE
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 1:6780 SOUTHWEST AVE
Mailing Address - Street 2:
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63143-2624
Mailing Address - Country:US
Mailing Address - Phone:314-502-7637
Mailing Address - Fax:
Practice Address - Street 1:6780 SOUTHWEST AVE
Practice Address - Street 2:
Practice Address - City:SAINT LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63143-2624
Practice Address - Country:US
Practice Address - Phone:314-502-7637
Practice Address - Fax:314-667-3192
Is Sole Proprietor?:Yes
Enumeration Date:2019-05-13
Last Update Date:2023-05-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2019015448111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor