Provider Demographics
NPI:1922871292
Name:PC MUSCLE AND JOINT LLC
Entity Type:Organization
Organization Name:PC MUSCLE AND JOINT LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:BRANDON
Authorized Official - Middle Name:SCOTT
Authorized Official - Last Name:MESEBERG
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:816-401-0389
Mailing Address - Street 1:PO BOX 1092
Mailing Address - Street 2:
Mailing Address - City:PLATTE CITY
Mailing Address - State:MO
Mailing Address - Zip Code:64079-1092
Mailing Address - Country:US
Mailing Address - Phone:816-858-6006
Mailing Address - Fax:
Practice Address - Street 1:1401 BRANCH ST STE B
Practice Address - Street 2:
Practice Address - City:PLATTE CITY
Practice Address - State:MO
Practice Address - Zip Code:64079-8386
Practice Address - Country:US
Practice Address - Phone:816-858-6006
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-10-30
Last Update Date:2023-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center