Organization
BERMAN CHIROPRACTIC AND WELLNESS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MATTHEW BERMAN D.C. (OWNER)
(314) 862-5700
Entity
Organization
Contact information
Practice address
112 S HANLEY RD, SUITE 130, CLAYTON, MO 63105-3418
(314) 862-5700
(314) 862-6258
Mailing address
112 S HANLEY RD, SUITE 130, CLAYTON, MO 63105-3418
(314) 862-5700
(314) 862-6258
Taxonomy
Speciality
Code
Description
License number
State
302F00000X
Exclusive Provider Organization
Primary
2001030176
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
322365426
MEDICARE PTAN
MO
Enumeration date
08/15/2007
Last updated
06/17/2014
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