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DR. DARRYL ALBERT OBLACK D.C. NPI 1215076997


NPI Information

NPI: 1215076997
Provider Name: DR. DARRYL ALBERT OBLACK, D.C.
Classification: Chiropractor - 111N00000X
Entity Type: Individual
Address:
510 BAXTER RD
SUITE 4S
CHESTERFIELD, MO
ZIP 63017
Phone: (636) 227-6336
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DR. Darryl Albert Oblack, D.C. is a chiropractor in Chesterfield, MO. The provider is a provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. DR. Darryl Albert Oblack, D.C. NPI is 1215076997. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

510 BAXTER RD
SUITE 4S
CHESTERFIELD, MO
ZIP 63017-032
Phone: (636) 227-6336
Fax: (636) 227-9878

The enumeration date for this NPI number is 2/6/2007 and was last updated on 7/8/2007.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1111N00000XChiropractorCE006385MISSOURIYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1U58989MEDICARE UPINMISSOURI

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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