Individual
DR. GUILLERMO ELOY HERNANDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
11935 OLIVE BLVD, SAINT LOUIS, MO 63141-6729
(314) 432-0005
(314) 432-5899
Mailing address
11935 OLIVE BLVD, SAINT LOUIS, MO 63141-6729
(314) 432-0005
(314) 432-5899
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
003939
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
113081
GHP
MO
01
—
183078
HEALTH LINK
MO
01
—
44-00555
UNITED HEALTHCARE
MO
01
—
5327463
AETNA
MO
01
—
7834
BLUECROSS/BLUESHIELD
MO
Enumeration date
08/17/2006
Last updated
07/08/2007
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