Provider Demographics
NPI:1740491240
Name:BIRKENMEIER CHIROPRACTIC CENTER LLC
Entity type:Organization
Organization Name:BIRKENMEIER CHIROPRACTIC CENTER LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DOCTOR OF CHIROPRACTIC
Authorized Official - Prefix:DR
Authorized Official - First Name:JEFFERY
Authorized Official - Middle Name:DEAN
Authorized Official - Last Name:BIRKENMEIER
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:314-485-2790
Mailing Address - Street 1:11720 OLD BALLAS RD
Mailing Address - Street 2:
Mailing Address - City:CREVE COEUR
Mailing Address - State:MO
Mailing Address - Zip Code:63141-7028
Mailing Address - Country:US
Mailing Address - Phone:314-485-2790
Mailing Address - Fax:314-594-9979
Practice Address - Street 1:11720 OLD BALLAS RD
Practice Address - Street 2:
Practice Address - City:CREVE COEUR
Practice Address - State:MO
Practice Address - Zip Code:63141-7028
Practice Address - Country:US
Practice Address - Phone:314-485-2790
Practice Address - Fax:314-594-9979
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-25
Last Update Date:2013-04-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO000014466OtherP-TAN