Organization
LITTLETON CHIROPRACTIC CLINIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MELANEY YAJUAN LITTLETON D.C. (CHIROPRACTOR/OWNER)
(314) 997-4460
Entity
Organization
Contact information
Practice address
8420 DELMAR BLVD, SUITE 305, SAINT LOUIS, MO 63124-2170
(314) 997-4460
(314) 997-2306
Mailing address
8420 DELMAR BLVD, SUITE 305, SAINT LOUIS, MO 63124-2170
(314) 997-4460
(314) 997-2306
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2004021551
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000025960
MEDICARE PROVIDER NUMBER
MO
01
—
M0459
MEDICARE SUBMITTER I.D. N
MO
Enumeration date
07/27/2007
Last updated
06/21/2018
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