Provider Demographics
NPI:1912071838
Name:BRASSIE, JOEL ANDREW (DC)
Entity Type:Individual
Prefix:DR
First Name:JOEL
Middle Name:ANDREW
Last Name:BRASSIE
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 1:972 KEHRS MILL RD
Mailing Address - Street 2:
Mailing Address - City:BALLWIN
Mailing Address - State:MO
Mailing Address - Zip Code:63011-2402
Mailing Address - Country:US
Mailing Address - Phone:636-394-4101
Mailing Address - Fax:636-394-3022
Practice Address - Street 1:972 KEHRS MILL RD
Practice Address - Street 2:
Practice Address - City:BALLWIN
Practice Address - State:MO
Practice Address - Zip Code:63011-2402
Practice Address - Country:US
Practice Address - Phone:636-394-4101
Practice Address - Fax:636-394-3022
Is Sole Proprietor?:No
Enumeration Date:2006-11-20
Last Update Date:2008-02-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2004030216111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
699875OtherHEALTHLINK PPO
669231OtherHEALTH CARE OF ALL STATES
V05931OtherMERCY HEALTH PLANS
194563OtherBCBS
699875OtherHEALTHLINK HMO
194563OtherBCBS
MOV05931Medicare UPIN