Healthcare Provider Details

I. General information

NPI: 1114174208
Provider Name (Legal Business Name): CHAPEL MCMURTRIE & BARTLETT CHIROPRACTIC P.C
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/20/2008
Last Update Date: 09/06/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

936 CHESTERFIELD PKWY E
CHESTERFIELD MO
63017-2042
US

IV. Provider business mailing address

936 CHESTERFIELD PKWY E
CHESTERFIELD MO
63017-2042
US

V. Phone/Fax

Practice location:
  • Phone: 636-537-0564
  • Fax: 636-537-2315
Mailing address:
  • Phone: 636-537-0564
  • Fax: 636-537-2315

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number
License Number State

VIII. Authorized Official

Name: DR. KERN G MCMURTRIE
Title or Position: SECRETARY
Credential: D.C
Phone: 636-537-0564