Individual
DR. EMMANUEL POTSOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
1851 SCHOETTLER RD, CHESTERFIELD, MO 63017-5529
(636) 227-0903
Mailing address
1851 SCHOETTLER RD, CHESTERFIELD, MO 63017-5529
(636) 227-2100
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2000161198
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
132676
BLUE CROSS BLUE SHIELD
MO
01
—
454625
HEALTHLINK
MO
01
—
627952
UNITED HEALTH CARE
MO
Enumeration date
08/31/2006
Last updated
07/08/2007
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