MEDICARE: PEER REVIEW CONSULTING SERVICES, INC.

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	006159	MO

General Provider Information

NPI Number	:	1902041114
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PEER REVIEW CONSULTING SERVICES, INC.

Provider Business Mailing Address
First Line	:	11520 SAINT CHARLES ROCK RD
Second Line	:	STE 202
City	:	BRIDGETON
State	:	MO
Zip	:	63044-2732
Country	:	US
Telephone Number	:	314-291-5077
Fax Number	:	314-739-4169

Provider Business Practice Location Address
First Line	:	11520 SAINT CHARLES ROCK RD
Second Line	:	STE 202
City	:	BRIDGETON
State	:	MO
Zip	:	63044-2732
Country	:	US
Telephone Number	:	314-291-5077
Fax Number	:	314-739-4169

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. CHRIS A HEEB
Credential	:	DC
Telephone Number	:	314-291-5077

Provider Enumeration Date	:	12/03/2008
Last Update Date	:	11/14/2014

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