Organization
ST. LOUIS SPINE & HEALTH ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KRISTON SHANE NEIFERT D.C. (OWNER)
(314) 576-1495
Entity
Organization
Contact information
Practice address
12401 OLIVE BLVD STE 202, CREVE COEUR, MO 63141-5448
(314) 576-1495
(314) 576-2804
Mailing address
12401 OLIVE BLVD STE 202, CREVE COEUR, MO 63141-5448
(314) 576-1495
(314) 576-2804
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CE006255
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1130904
FIRST HEALTH
—
01
—
1275529745
NPI
—
01
—
155354
DESERET MUTUAL
—
01
—
20189
ANTHEM
—
01
—
285150
GHP
—
01
—
350056741
RAILROAD MEDICARE
—
01
—
4403250
UNITED HEALTHCARE
—
01
—
633007106
PHCS
—
Enumeration date
11/05/2007
Last updated
09/05/2014
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