Individual
DR. LESLIE ANNE REID
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.C.
Contact information
Practice address
16075 MANCHESTER RD, ELLISVILLE, MO 63011-2103
(636) 256-0880
(636) 256-9153
Mailing address
16075 MANCHESTER RD, ELLISVILLE, MO 63011-2103
(636) 256-0880
(636) 256-9153
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2001025911
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
149546
BLUE CROSS PROV #
MO
01
—
200557644
FEDERAL TAX ID #
MO
01
—
465372
HEALTHLINK PROV #
MO
01
—
653079
UHC PROVIDER #
MO
01
—
P00338527
MEDICARE RR PROV #
MO
Enumeration date
02/23/2007
Last updated
09/11/2013
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