COOPER FAMILY CHIROPRACTIC NPI 1144486705

NPI Information

NPI: 1144486705
Provider Name: COOPER FAMILY CHIROPRACTIC
Classification: Chiropractor - 111N00000X
Entity Type: Organization
Address:
9103 PHOENIX VILLAGE PKWY
SUITE F
O FALLON, MO
ZIP 63368
Phone: (636) 265-2566
Get Directions

COOPER FAMILY CHIROPRACTIC is a chiropractor in O Fallon, MO. The provider is a provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. COOPER FAMILY CHIROPRACTIC NPI is 1144486705. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

9103 PHOENIX VILLAGE PKWY
SUITE F
O FALLON, MO
ZIP 63368-279
Phone: (636) 265-2566
Fax: (866) 418-4148

The provider's authorized official is Marcy Lynn Cooper .
The authorized official title is Owner and has the following contact phone number (636) 379-9105.

The enumeration date for this NPI number is 8/4/2008 and was last updated on 11/11/2014.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	111N00000X	Chiropractor		2000144756	MISSOURI	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	38309	OTHER	MISSOURI	GHP/CMR
2	000031829	MEDICARE PIN	MISSOURI
3	139154	OTHER	MISSOURI	ANTHEM BLUE CROSS BLUE SHIELD
4	432179	OTHER	MISSOURI	HEALTHLINK
5	7997538	OTHER	MISSOURI	AETNA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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