Individual
GINA SCOGNAMIGLIO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.C.
Contact information
Practice address
12401 OLIVE BLVD, SUITE 101, CREVE COEUR, MO 63141-5448
(314) 439-5548
(314) 439-5766
Mailing address
12401 OLIVE BLVD, SUITE 101, CREVE COEUR, MO 63141-5448
(314) 439-5548
(314) 439-5766
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
006812
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
150432
BLUE CROSS & BLUE SHIELD
MO
01
—
4902602
CIGNA PROVIDER ID#
MO
01
—
609445
ACN PROVIDER ID#
MO
01
—
7728109
AETNA PROVIDER ID#
MO
Enumeration date
11/13/2006
Last updated
02/04/2014
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