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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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