Organization
AFFTON LEMAY CHIROPRACTIC CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EDWARD ALLEN HENGEL DC (OWNER)
(314) 631-5550
Entity
Organization
Contact information
Practice address
4006 BAYLESS AVE, SAINT LOUIS, MO 63125-1314
(314) 631-5550
Mailing address
4006 BAYLESS AVE, SAINT LOUIS, MO 63125-1314
(314) 631-5550
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
005518
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
119883
ANTHEM BLUE CROSS BLUE SHIELD
MO
01
—
33695
GROUP HEALTH PLAN
MO
01
—
350046064
RAILROAD MEDICARE
MO
01
—
4406970
UNITED HEALTHCARE
MO
01
—
7788
BLUE CROSS BLUE SHIELD
MO
Enumeration date
04/22/2008
Last updated
04/22/2008
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