Individual
DR. AMY S PIKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DC
Contact information
Practice address
4075 HIGHWAY 54 STE 200, OSAGE BEACH, MO 65065-2153
(573) 348-4640
(573) 348-4660
Mailing address
4075 HIGHWAY 54 STE 200, OSAGE BEACH, MO 65065-2153
(573) 348-4640
(573) 348-4660
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
005653
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00428091
RAILROAD MEDICARE PIN
MO
Enumeration date
11/01/2007
Last updated
05/08/2008
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