Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days.
Organization
CHIROPRACTIC ACCIDENT CENTER OF FENTON, P.C.
Active
Organization
CHIROPRACTIC ACCIDENT CENTER OF FENTON, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LESA NOLAN (OFFICE MANAGER)
(636) 343-9595
Entity
Organization
Contact information
Practice address
408 GRAVOIS RD, FENTON, MO 63026-4133
(636) 343-9595
(636) 343-8126
Mailing address
408 GRAVOIS RD, FENTON, MO 63026-4133
(636) 343-9595
(636) 343-8126
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
005984
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
17425
ANTHEM BLUE CROSS BLUE SH
MO
Enumeration date
03/28/2007
Last updated
06/28/2018
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign upProduct
Developers