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NPI Code Detail

MEDICARE: PAMELA ROUT DC

MEDICARE: PAMELA ROUT DC
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 : 1730230293
Entity Type Code : Organization
Provider Name (Legal Business Name) : PAMELA ROUT DC
Provider Business Mailing Address
First Line : 701 E HANOVER ST
Second Line :
City : NEW BADEN
State : IL
Zip : 62265-1908
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 701 E HANOVER ST
Second Line :
City : NEW BADEN
State : IL
Zip : 62265-1908
Country : US
Telephone Number : 618-588-4976
Fax Number :
Authorized Official
Title or Position : OWNER
Name : DR. PAMELA ROUT
Credential : DC
Telephone Number : 618-588-4976
Provider Enumeration Date : 01/12/2007
Last Update Date : 08/22/2020

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Directions to “PAMELA ROUT DC ” Practice Location

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