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NPI Code Detail

MEDICARE: NIDHI SONI D.C.

MEDICARE:   NIDHI  SONI  D.C.
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
1111N00000XChiropractor2003025606MO

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1184165OTHERMOBLUE CROSS BLUE SHIELD

General Provider Information

NPI Number : 1114985678
Entity Type Code : Individual
Provider Name (Legal Business Name) : NIDHI SONI D.C.
Provider Business Mailing Address
First Line : 485 WILDWOOD PKWY
Second Line : SUITE #1
City : BALLWIN
State : MO
Zip : 63011-2667
Country : US
Telephone Number : 314-276-4154
Fax Number : 314-395-0607
Provider Business Practice Location Address
First Line : 485 WILDWOOD PKWY
Second Line : SUITE #1
City : BALLWIN
State : MO
Zip : 63011-2667
Country : US
Telephone Number : 314-276-4154
Fax Number : 314-395-0607
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/03/2006
Last Update Date : 07/08/2007

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Directions to “ NIDHI SONI D.C.” Practice Location

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