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NPI Code Detail

MEDICARE: DICUS CHIROPRACTIC CLINIC, P.C.

MEDICARE: DICUS CHIROPRACTIC CLINIC, P.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
1111N00000XChiropractor

General Provider Information

NPI Number : 1174726459
Entity Type Code : Organization
Provider Name (Legal Business Name) : DICUS CHIROPRACTIC CLINIC, P.C.
Provider Business Mailing Address
First Line : 2003 PLEASANT VALLEY DR
Second Line :
City : SAINT CHARLES
State : MO
Zip : 63303-3867
Country : US
Telephone Number : 636-328-5762
Fax Number :
Provider Business Practice Location Address
First Line : 2241 BLUESTONE DR
Second Line :
City : SAINT CHARLES
State : MO
Zip : 63303-6705
Country : US
Telephone Number : 636-328-5762
Fax Number : 636-724-1240
Authorized Official
Title or Position : OWNER CHIROPRACTOR
Name : DR. DONALD WAYNE DICUS
Credential : D.C.
Telephone Number : 636-328-5762
Provider Enumeration Date : 06/06/2007
Last Update Date : 10/31/2007

Similar Medicare Providers

1942296538 — DR. DONALD WAYNE DICUS D.C.
Practice Location Address:
2241 BLUESTONE DR
SAINT CHARLES, MO
63303-6705
Practice Phone: 636-328-5762
Practice Fax: 636-925-0128
1962562124 — DR. ESTHER S LAUER D.C.,P.H.D.,R.N.
Practice Location Address:
2241 BLUESTONE DR
SAINT CHARLES, MO
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Practice Phone: 636-940-2226
Practice Fax: 636-940-9990
1104091958 — LAUER CHIROPRACTIC PC
Practice Location Address:
2241 BLUESTONE DR
SAINT CHARLES, MO
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1134386501 — ELIZABETH PEREZ D.C.
Practice Location Address:
2261 BLUESTONE DR
SAINT CHARLES, MO
63303-6705
Practice Phone: 314-422-4853
Practice Fax:
1346494226 — WILKS CHIROPRACTIC
Practice Location Address:
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SAINT CHARLES, MO
63303-6705
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1477826030 — COMPLETE WELLNESS CHIROPRACTIC CENTER LLC
Practice Location Address:
2241 BLUESTONE DR
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Directions to “DICUS CHIROPRACTIC CLINIC, P.C. ” Practice Location

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