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NPI Code Detail

MEDICARE: UPPER LEVEL CHIROPRACTIC, LLC

MEDICARE: UPPER LEVEL CHIROPRACTIC, LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1111N00000XChiropractor2002010528MO

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1000025525OTHERMOMEDICARE PTAN

General Provider Information

NPI Number : 1114190642
Entity Type Code : Organization
Provider Name (Legal Business Name) : UPPER LEVEL CHIROPRACTIC, LLC
Provider Business Mailing Address
First Line : 3911 VOGEL ROAD
Second Line :
City : ARNOLD
State : MO
Zip : 63010-3798
Country : US
Telephone Number : 636-287-3444
Fax Number : 636-287-3440
Provider Business Practice Location Address
First Line : 3911 VOGEL ROAD
Second Line :
City : ARNOLD
State : MO
Zip : 63010-3798
Country : US
Telephone Number : 636-287-3444
Fax Number : 636-287-3440
Authorized Official
Title or Position : OWNER/PRESIDENT
Name : DR. CHRISTOPHER LEVEL
Credential : D.C.
Telephone Number : 636-287-3444
Provider Enumeration Date : 04/04/2008
Last Update Date : 02/03/2009

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Directions to “UPPER LEVEL CHIROPRACTIC, LLC ” Practice Location

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