Organization
ADVANCED FAMILY CHIROPRACTIC & REHABILITATION, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAUL AMATO (OWNER/PRESIDENT)
(636) 464-5900
Entity
Organization
Contact information
Practice address
5207 WARREN RD, IMPERIAL, MO 63052-1521
(636) 464-5900
(636) 464-5901
Mailing address
5207 WARREN RD, IMPERIAL, MO 63052-1521
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2010000782
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
088570
MEDICARE
NJ
Enumeration date
07/15/2010
Last updated
07/15/2010
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