Organization
BALLWIN CHIROPRACTIC CENTER, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROY HILLGARTNER (OWNER)
(636) 391-0424
Entity
Organization
Contact information
Practice address
14615 MANCHESTER RD, BALLWIN, MO 63011-3790
(636) 391-0424
(636) 391-0437
Mailing address
14615 MANCHESTER RD, BALLWIN, MO 63011-3790
(636) 391-0424
(636) 391-0437
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
3473
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
7894
BLUE CROSS BLUE SHEILD PIN
MO
Enumeration date
09/15/2008
Last updated
09/16/2008
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