INTEGRATIVE SPINE CARE LLC NPI 1649623240

NPI Information

  • NPI: 1649623240
  • Provider Name: INTEGRATIVE SPINE CARE LLC
  • Classification: Clinic/Center - 261QP3300X
  • Specialization: Pain
  • Entity Type: Organization
  • Doing Business As: PAIN PREVENTION & REHABILITATION
  • CLIA Number: 26D1085163
  • Address: 13710 OLIVE BLVD
    CHESTERFIELD, MO
    ZIP 63017
  • Phone: (314) 469-7246

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NPI Details

INTEGRATIVE SPINE CARE LLC is a pain clinic center in Chesterfield, MO. INTEGRATIVE SPINE CARE LLC NPI is 1649623240. The provider is registered as an organization entity type.
The provider Is Doing Business As Pain Prevention & Rehabilitation.

The provider's business location address is:

13710 OLIVE BLVD
CHESTERFIELD, MO
ZIP 63017-602
Phone: (314) 469-7246
Fax: (314) 469-7251

The provider's authorized official is Lata Solanki .
The authorized official title is Office Manager and has the following contact phone number (314) 469-7246.

The CLIA number assigned to this NPI record is 26D1085163 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/19/2016 and was last updated on 11/21/2016.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QP3300XClinic/CenterPain103749MISSOURIYes

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1F97488MEDICARE 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: 11/21/2025

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