Provider Demographics
NPI:1780729913
Name:CHIROPRACTIC & MORE, LLC
Entity type:Organization
Organization Name:CHIROPRACTIC & MORE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:DUY
Authorized Official - Middle Name:D
Authorized Official - Last Name:NGUYEN
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:636-225-9600
Mailing Address - Street 1:4348 SCHMITTWOODS CT
Mailing Address - Street 2:
Mailing Address - City:AFFTON
Mailing Address - State:MO
Mailing Address - Zip Code:63123-6731
Mailing Address - Country:US
Mailing Address - Phone:314-631-0478
Mailing Address - Fax:314-631-0478
Practice Address - Street 1:20 STONEGATE CTR
Practice Address - Street 2:
Practice Address - City:VALLEY PARK
Practice Address - State:MO
Practice Address - Zip Code:63088-1215
Practice Address - Country:US
Practice Address - Phone:636-225-9600
Practice Address - Fax:314-631-0478
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-21
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2004026183111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty