Provider Demographics
NPI:1720114424
Name:FILSON, RALPH MICHAEL (DC)
Entity Type:Individual
Prefix:
First Name:RALPH
Middle Name:MICHAEL
Last Name:FILSON
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 1:10510 OLD OLIVE STREET RD
Mailing Address - Street 2:
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63141-5926
Mailing Address - Country:US
Mailing Address - Phone:314-991-2295
Mailing Address - Fax:314-991-0205
Practice Address - Street 1:10510 OLD OLIVE STREET RD
Practice Address - Street 2:
Practice Address - City:SAINT LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63141-5926
Practice Address - Country:US
Practice Address - Phone:314-991-2295
Practice Address - Fax:314-991-0205
Is Sole Proprietor?:No
Enumeration Date:2007-02-26
Last Update Date:2007-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO003462111NS0005X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NS0005XChiropractic ProvidersChiropractorSports Physician