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NPI Code Detail

MEDICARE: CORNERSTONE CHIROPRACTIC

MEDICARE: CORNERSTONE CHIROPRACTIC
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
1261QP2300XPrimary Care Clinic/Center2009025726MO

General Provider Information

NPI Number : 1871817726
Entity Type Code : Organization
Provider Name (Legal Business Name) : CORNERSTONE CHIROPRACTIC
Provider Business Mailing Address
First Line : 2115 BARRETT STATION RD
Second Line :
City : SAINT LOUIS
State : MO
Zip : 63131-1606
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2115 BARRETT STATION RD
Second Line :
City : SAINT LOUIS
State : MO
Zip : 63131-1606
Country : US
Telephone Number : 636-357-1769
Fax Number :
Authorized Official
Title or Position : OWNER
Name : DR. NICHOLAS ANTHONY HASENFRATZ
Credential : D.C.
Telephone Number : 636-357-1769
Provider Enumeration Date : 03/22/2010
Last Update Date : 03/22/2010

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Directions to “CORNERSTONE CHIROPRACTIC ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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