Individual
NIDHI SONI
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
D.C.
Contact information
Practice address
485 WILDWOOD PKWY, SUITE #1, BALLWIN, MO 63011-2667
(314) 276-4154
(314) 395-0607
Mailing address
485 WILDWOOD PKWY, SUITE #1, BALLWIN, MO 63011-2667
(314) 276-4154
(314) 395-0607
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2003025606
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
184165
BLUE CROSS BLUE SHIELD
MO
Enumeration date
05/03/2006
Last updated
07/08/2007
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