Individual
DR. EDWARD CLARK BICKMEYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
1362 S 5TH ST, SAINT CHARLES, MO 63301-2444
(636) 947-7463
Mailing address
1362 S 5TH ST, SAINT CHARLES, MO 63301-2444
(636) 947-7463
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
006118
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
239301
HEALTHLINK
MO
01
—
4668026
AETNA
MO
01
—
4728
ANTHEM
MO
01
—
81635
GROUP HEALTH PLAN
MO
Enumeration date
08/15/2006
Last updated
07/09/2007
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