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Organization
RIVERTOWNE FAMILY CHIROPRACTIC, LLC
Active
Organization
RIVERTOWNE FAMILY CHIROPRACTIC, LLC
Active
Other names
Rivertowne Family Chiropractic
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EDWARD CLARK BICKMEYER D.C. (OWNER)
(636) 947-7463
Entity
Organization
Contact information
Practice address
1362 S 5TH ST, SAINT CHARLES, MO 63301-2444
(636) 947-7463
(636) 947-7177
Mailing address
1362 S 5TH ST, SAINT CHARLES, MO 63301-2444
(636) 947-7463
(636) 947-7177
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
006118
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
205255
DR. LOCK ANTHEM ID
MO
01
—
4668026
AETNA PIN - DR. BICKMEYER
MO
01
—
4728
ANTHEM ID - DR. BICKMEYER
MO
01
—
7986711
AETNA PIN - DR. LOCK
MO
Enumeration date
08/15/2006
Last updated
08/22/2020
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