Healthcare Provider Details

I. General information

NPI: 1326315888
Provider Name (Legal Business Name): MEGAN K FLOARKE D.C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/28/2011
Last Update Date: 12/02/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13035 OLIVE BLVD SUITE 216
CREVE COEUR MO
63141-6173
US

IV. Provider business mailing address

12032 TESSON FERRY RD SUITE 216
SAINT LOUIS MO
63128-1774
US

V. Phone/Fax

Practice location:
  • Phone: 314-542-2003
  • Fax: 314-542-2007
Mailing address:
  • Phone: 314-843-0005
  • Fax: 314-842-9899

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111NI0013X
TaxonomyIndependent Medical Examiner Chiropractor
License Number2011037864
License Number StateMO
# 2
Primary TaxonomyN
Taxonomy Code111NI0013X
TaxonomyIndependent Medical Examiner Chiropractor
License Number038012061
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: