Provider Demographics
NPI:1982012555
Name:LAURA MCATEER DC LLC
Entity Type:Organization
Organization Name:LAURA MCATEER DC LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIROPRACTOR
Authorized Official - Prefix:
Authorized Official - First Name:LAURA
Authorized Official - Middle Name:ANNE
Authorized Official - Last Name:MCATEER
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:314-283-9652
Mailing Address - Street 1:7287 WATSONS PARISH
Mailing Address - Street 2:
Mailing Address - City:OFALLON
Mailing Address - State:MO
Mailing Address - Zip Code:63368-7589
Mailing Address - Country:US
Mailing Address - Phone:314-283-9652
Mailing Address - Fax:
Practice Address - Street 1:7287 WATSONS PARISH DR
Practice Address - Street 2:
Practice Address - City:O FALLON
Practice Address - State:MO
Practice Address - Zip Code:63368-8151
Practice Address - Country:US
Practice Address - Phone:314-283-9652
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-07-28
Last Update Date:2014-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2014025391111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty