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DIVAN CHIROPRACTIC AND SPORTS REHABILITATION NPI 1942698998


NPI Information

NPI: 1942698998
Provider Name: DIVAN CHIROPRACTIC AND SPORTS REHABILITATION
Classification: Chiropractor - 111N00000X
Entity Type: Organization
Address:
8045 BIG BEND BLVD
107
SAINT LOUIS, MO
ZIP 63119
Phone: (314) 961-7181
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DIVAN CHIROPRACTIC AND SPORTS REHABILITATION is a chiropractor in Saint Louis, 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. DIVAN CHIROPRACTIC AND SPORTS REHABILITATION NPI is 1942698998. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

8045 BIG BEND BLVD
107
SAINT LOUIS, MO
ZIP 63119-714
Phone: (314) 961-7181

The provider's authorized official is Jana Willison .
The authorized official title is Office Manager and has the following contact phone number (314) 961-7181.

The enumeration date for this NPI number is 12/29/2014 and was last updated on 12/29/2014.


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
1111N00000XChiropractor2014010441MISSOURIYes

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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