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NPI Code Detail

MEDICARE: JENNIFER BLEI, D.C., LLC

MEDICARE: JENNIFER BLEI, D.C., 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
1111N00000XChiropractor2006012185MO

General Provider Information

NPI Number : 1467593616
Entity Type Code : Organization
Provider Name (Legal Business Name) : JENNIFER BLEI, D.C., LLC
Provider Business Mailing Address
First Line : 3438 RIVERCHASE PKWY
Second Line :
City : SAINT CHARLES
State : MO
Zip : 63301-4112
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1023 MAIN PLAZA DR
Second Line :
City : WENTZVILLE
State : MO
Zip : 63385-1170
Country : US
Telephone Number : 636-639-8944
Fax Number : 636-369-8922
Authorized Official
Title or Position : CHIROPRACTOR
Name : DR. JENNIFER LINDSAY BLEI
Credential : D.C.
Telephone Number : 314-504-2620
Provider Enumeration Date : 02/09/2007
Last Update Date : 08/22/2020

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