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NPI Code Detail

MEDICARE: COMPLETE WELLNESS CHIROPRACTIC CENTER LLC

MEDICARE: COMPLETE WELLNESS CHIROPRACTIC CENTER LLC
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
1261Q00000XClinic/Center2012001576MO

General Provider Information

NPI Number : 1477826030
Entity Type Code : Organization
Provider Name (Legal Business Name) : COMPLETE WELLNESS CHIROPRACTIC CENTER LLC
Provider Business Mailing Address
First Line : 2241 BLUESTONE DR
Second Line :
City : SAINT CHARLES
State : MO
Zip : 63303-6705
Country : US
Telephone Number : 636-751-3150
Fax Number : 636-940-9990
Provider Business Practice Location Address
First Line : 2241 BLUESTONE DR
Second Line :
City : SAINT CHARLES
State : MO
Zip : 63303-6705
Country : US
Telephone Number : 636-751-3150
Fax Number : 636-940-9990
Authorized Official
Title or Position : DOCTOR OF CHIROPRACTIC
Name : DR. VICTORIA MARIE PATTERSON
Credential : D.C.
Telephone Number : 636-751-3150
Provider Enumeration Date : 02/13/2012
Last Update Date : 03/20/2012

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Directions to “COMPLETE WELLNESS CHIROPRACTIC CENTER LLC ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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