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ST. LOUIS OPTIMAL PERFORMANCE LLC NPI 1245574367


NPI Information

NPI: 1245574367
Provider Name: ST. LOUIS OPTIMAL PERFORMANCE, LLC

Doing Business As: OPTIMAL PERFORMANCE CENTER

Classification: Chiropractor - 111N00000X
Entity Type: Organization
Address:
219 CHESTERFIELD TOWNE CTR
CHESTERFIELD, MO
ZIP 63005
Phone: (636) 778-9997
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ST. LOUIS OPTIMAL PERFORMANCE, LLC 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. ST. LOUIS OPTIMAL PERFORMANCE, LLC NPI is 1245574367. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Optimal Performance Center.

The provider's business location address is:

219 CHESTERFIELD TOWNE CTR
CHESTERFIELD, MO
ZIP 63005-257
Phone: (636) 778-9997
Fax: (636) 778-9994

The provider's authorized official is Brian Andrew Laiderman .
The authorized official title is Chiropractic Physician/owner and has the following contact phone number (636) 778-9997.

The enumeration date for this NPI number is 11/15/2012 and was last updated on 7/2/2013.


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
1111N00000XChiropractor2012014238MISSOURIYes

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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