Healthcare Provider Details

I. General information

NPI: 1033741202
Provider Name (Legal Business Name): OLALANI HOLDINGS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/06/2020
Last Update Date: 12/04/2023
Certification Date: 12/04/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6780 SOUTHWEST AVE
SAINT LOUIS MO
63143-2624
US

IV. Provider business mailing address

950 FRANCIS PL STE 217
CLAYTON MO
63105-2465
US

V. Phone/Fax

Practice location:
  • Phone: 314-502-7637
  • Fax: 314-644-2309
Mailing address:
  • Phone: 314-502-7637
  • Fax: 314-644-2309

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DR. ALEXANDER JOHANNES OLALANI MCGUIRE
Title or Position: OWNER/CHIROPRACTOR
Credential: DC
Phone: 314-502-7637