Provider Demographics
NPI:1508602665
Name:ST LOUIS CHIROPRACTIC CARE LLC
Entity type:Organization
Organization Name:ST LOUIS CHIROPRACTIC CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER, CHIROPRACTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:CHLOE
Authorized Official - Middle Name:H
Authorized Official - Last Name:CAMPBELL
Authorized Official - Suffix:
Authorized Official - Credentials:DC, MSSR
Authorized Official - Phone:314-226-0378
Mailing Address - Street 1:460 COVENTRY TRAIL LN
Mailing Address - Street 2:
Mailing Address - City:MARYLAND HEIGHTS
Mailing Address - State:MO
Mailing Address - Zip Code:63043-5134
Mailing Address - Country:US
Mailing Address - Phone:314-226-0378
Mailing Address - Fax:
Practice Address - Street 1:2705 SAINT PETERS HOWELL RD STE J
Practice Address - Street 2:
Practice Address - City:SAINT PETERS
Practice Address - State:MO
Practice Address - Zip Code:63376-2821
Practice Address - Country:US
Practice Address - Phone:314-226-0378
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ST LOUIS CHIROPRACTIC CARE LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2024-07-08
Last Update Date:2024-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty