Provider Demographics
NPI:1902041114
Name:PEER REVIEW CONSULTING SERVICES, INC.
Entity Type:Organization
Organization Name:PEER REVIEW CONSULTING SERVICES, INC.
Other - Org Name:PERFORMANCE HEALTH OF ST LOUIS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:CHRIS
Authorized Official - Middle Name:A
Authorized Official - Last Name:HEEB
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:314-291-5077
Mailing Address - Street 1:11520 SAINT CHARLES ROCK RD
Mailing Address - Street 2:STE 202
Mailing Address - City:BRIDGETON
Mailing Address - State:MO
Mailing Address - Zip Code:63044-2732
Mailing Address - Country:US
Mailing Address - Phone:314-291-5077
Mailing Address - Fax:314-739-4169
Practice Address - Street 1:11520 SAINT CHARLES ROCK RD
Practice Address - Street 2:STE 202
Practice Address - City:BRIDGETON
Practice Address - State:MO
Practice Address - Zip Code:63044-2732
Practice Address - Country:US
Practice Address - Phone:314-291-5077
Practice Address - Fax:314-739-4169
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-12-03
Last Update Date:2014-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO006159111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty