Healthcare Provider Details

I. General information

NPI: 1659416295
Provider Name (Legal Business Name): ROBERT EVARTS RIMMER DC
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/21/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2359 CHAMBERS RD
ST LOUIS MO
63136
US

IV. Provider business mailing address

2359 CHAMBERS RD
ST LOUIS MO
63136
US

V. Phone/Fax

Practice location:
  • Phone: 314-868-2220
  • Fax: 314-868-2640
Mailing address:
  • Phone: 314-868-2220
  • Fax: 314-868-2640

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number3603
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: