Healthcare Provider Details

I. General information

NPI: 1295544252
Provider Name (Legal Business Name): CHRISTOPHER W WELSH DC
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/04/2025
Last Update Date: 01/04/2025
Certification Date: 01/04/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2061 COLLIER CORPORATE PKWY
SAINT CHARLES MO
63303-6701
US

IV. Provider business mailing address

2061 COLLIER CORPORATE PKWY
SAINT CHARLES MO
63303-6701
US

V. Phone/Fax

Practice location:
  • Phone: 636-724-2058
  • Fax:
Mailing address:
  • Phone: 636-724-5058
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111NN1001X
TaxonomyNutrition Chiropractor
License Number2024049772
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: