Healthcare Provider Details

I. General information

NPI: 1912069733
Provider Name (Legal Business Name): DANIEL G ARMBRUSTER DC PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/15/2006
Last Update Date: 11/26/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2730 WATSON RD
ST LOUIS MO
63139
US

IV. Provider business mailing address

2730 WATSON RD
ST LOUIS MO
63139
US

V. Phone/Fax

Practice location:
  • Phone: 314-832-3344
  • Fax: 314-832-3833
Mailing address:
  • Phone: 314-832-3344
  • Fax: 314-832-3833

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code171100000X
TaxonomyAcupuncturist
License Number2004006935
License Number StateMO
# 2
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number005929
License Number StateMO

VIII. Authorized Official

Name: DANIEL GERARD ARMBRUSTER
Title or Position: OWNER
Credential: DC DIPL AC NCCAOM
Phone: 314-832-3344