Organization
COLEMAN CHIROPRACTIC, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BARTON J COLEMAN DC (PRESIDENT)
(636) 629-2414
Entity
Organization
Contact information
Practice address
605 N COMMERCIAL AVE, SAINT CLAIR, MO 63077-1103
(636) 629-2414
(636) 629-2406
Mailing address
605 N COMMERCIAL AVE, SAINT CLAIR, MO 63077-1103
(636) 629-2414
(636) 629-2406
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
006684
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
133659
BLUE CROSS GROUP PIN
MO
Enumeration date
12/29/2009
Last updated
12/29/2009
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