Organization
RIVERTOWNE FAMILY CHIROPRACTIC, LLC
Active
Other names
Rivertowne Family Chiropractic
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EDWARD CLARK BICKMEYER D.C. (OWNER)
(636) 947-7463
Entity
Organization
Contact information
Practice address
1362 S 5TH ST, SAINT CHARLES, MO 63301-2444
(636) 947-7463
(636) 947-7177
Mailing address
1362 S 5TH ST, SAINT CHARLES, MO 63301-2444
(636) 947-7463
(636) 947-7177
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
006118
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
205255
DR. LOCK ANTHEM ID
MO
01
—
4668026
AETNA PIN - DR. BICKMEYER
MO
01
—
4728
ANTHEM ID - DR. BICKMEYER
MO
01
—
7986711
AETNA PIN - DR. LOCK
MO
Enumeration date
08/15/2006
Last updated
08/22/2020
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