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JOHN DEANGELIS LLC NPI 1306170501


NPI Information

NPI: 1306170501
Provider Name: JOHN DEANGELIS LLC
Classification: Chiropractor - 111N00000X
Entity Type: Organization
Address:
1000 LAKE SAINT LOUIS BLVD
SUITE 100
LAKE SAINT LOUIS, MO
ZIP 63367
Phone: (636) 695-4570
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JOHN DEANGELIS LLC is a chiropractor in Lake Saint Louis, 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. JOHN DEANGELIS LLC NPI is 1306170501. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1000 LAKE SAINT LOUIS BLVD
SUITE 100
LAKE SAINT LOUIS, MO
ZIP 63367-340
Phone: (636) 695-4570
Fax: (636) 625-4554

The provider's authorized official is John Nicholas Deangelis .
The authorized official title is Chiropractor and has the following contact phone number (330) 219-6557.

The enumeration date for this NPI number is 9/22/2009 and was last updated on 1/12/2010.


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
1111N00000XChiropractor2009002883MISSOURIYes

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

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