Individual
DR. JESSICA SHELLEY RIEDISSER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.C.
Contact information
Practice address
1159 BRYAN RD, O FALLON, MO 63366-3459
(636) 240-8989
(636) 240-6889
Mailing address
1159 BRYAN RD, O FALLON, MO 63366-3459
(636) 240-8989
(636) 240-6889
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2003006354
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000259375050
MEDICARE INVIDICUAL PTAN, ANOTHER FORMAT
MO
01
—
185420
BLUE CROSS BLUE SHIELD
MO
01
—
259375050
MEDICARE INDIVIDUAL PTAN NUMBER
MO
01
—
696970
ACN GROUP
MO
01
—
739074
HEALTHLINK
MO
01
—
7590746
AETNA
MO
Enumeration date
09/13/2006
Last updated
09/11/2023
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us