Provider Demographics
NPI:1912103672
Name:NEUWIRTH, JAMES ROBERT (DC)
Entity Type:Individual
Prefix:DR
First Name:JAMES
Middle Name:ROBERT
Last Name:NEUWIRTH
Suffix:
Gender:M
Credentials:DC
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Mailing Address - Street 1:416 REDWOOD FOREST DR
Mailing Address - Street 2:
Mailing Address - City:BALLWIN
Mailing Address - State:MO
Mailing Address - Zip Code:63021-5756
Mailing Address - Country:US
Mailing Address - Phone:314-822-1502
Mailing Address - Fax:314-821-9889
Practice Address - Street 1:1099 MILWAUKEE ST
Practice Address - Street 2:SUITE 230
Practice Address - City:SAINT LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63122-7356
Practice Address - Country:US
Practice Address - Phone:314-822-1502
Practice Address - Fax:314-821-9889
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MO006776111NR0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NR0400XChiropractic ProvidersChiropractorRehabilitation