MEDICARE: ERIC A NEPUTE DC 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
1	111N00000X	Chiropractor		MO

General Provider Information

NPI Number	:	1952453771
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ERIC A NEPUTE DC LLC

Provider Business Mailing Address
First Line	:	1057 CHARLEVILLE AVE
Second Line	:
City	:	SAINT LOUIS
State	:	MO
Zip	:	63119-1128
Country	:	US
Telephone Number	:	314-650-0422
Fax Number	:

Provider Business Practice Location Address
First Line	:	608 N MCKNIGHT RD
Second Line	:
City	:	SAINT LOUIS
State	:	MO
Zip	:	63132-4911
Country	:	US
Telephone Number	:	314-991-5655
Fax Number	:	314-991-4872

Authorized Official
Title or Position	:	DR.
Name	:	DR. ERIC ANTHONY NEPUTE
Credential	:	D.C.
Telephone Number	:	314-650-0422

Provider Enumeration Date	:	01/18/2007
Last Update Date	:	08/22/2020

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