Individual
DR. ERIC NEIL WALTEMATE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
11628 OLD BALLAS RD STE 112, CREVE COEUR, MO 63141-7030
(314) 569-0057
Mailing address
339 S 5TH ST, MASCOUTAH, IL 62258-2303
(618) 207-4445
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
038.011402
IL
111N00000X
Chiropractor
2002013828
MO
Other
Enumeration date
11/15/2006
Last updated
12/28/2022
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