Healthcare Provider Details

I. General information

NPI: 1093799231
Provider Name (Legal Business Name): NEIL LLOYD LINSENMAYER DC
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/01/2005
Last Update Date: 04/24/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

605 E HOSPITAL RD STE 3
EL DORADO SPRINGS MO
64744-2052
US

IV. Provider business mailing address

605 E HOSPITAL RD STE 3
EL DORADO SPRINGS MO
64744-2052
US

V. Phone/Fax

Practice location:
  • Phone: 417-876-0541
  • Fax: 417-876-0541
Mailing address:
  • Phone: 417-876-0541
  • Fax: 417-876-0541

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number2000144180
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: