MEDICARE: DR. BRETT MICHAEL MEHRINGER DC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	111N00000X	Chiropractor	2002022350	MO

General Provider Information

NPI Number	:	1457459885
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. BRETT MICHAEL MEHRINGER DC

Provider Business Mailing Address
First Line	:	1809 HERITAGE HILLS CENTER DRIVE
Second Line	:
City	:	WASHINGTON
State	:	MO
Zip	:	63090-4624
Country	:	US
Telephone Number	:	636-239-5252
Fax Number	:	636-239-4499

Provider Business Practice Location Address
First Line	:	1809 HERITAGE HILLS CENTER DR
Second Line	:
City	:	WASHINGTON
State	:	MO
Zip	:	63090-4624
Country	:	US
Telephone Number	:	636-239-5252
Fax Number	:	636-239-4499

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/20/2006
Last Update Date	:	09/30/2011

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