1699963439 NPI number — FURJES CHIROPRACTIC OFFICES, PC

Table of content: (NPI 1699963439)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1699963439 NPI number — FURJES CHIROPRACTIC OFFICES, PC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
FURJES CHIROPRACTIC OFFICES, PC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1699963439
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
10/05/2007
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
222 S 2ND ST
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
SAINT CHARLES
Provider Business Mailing Address State Name:
MO
Provider Business Mailing Address Postal Code:
63301-2809
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
636-947-9111
Provider Business Mailing Address Fax Number:
636-947-0781

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
222 S 2ND ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
SAINT CHARLES
Provider Business Practice Location Address State Name:
MO
Provider Business Practice Location Address Postal Code:
63301-2809
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
636-947-9111
Provider Business Practice Location Address Fax Number:
636-947-0781
Provider Enumeration Date:
10/05/2007

Additional Information

Authorized Official

Authorized Official Last Name:
FURJES
Authorized Official First Name:
STEPHEN
Authorized Official Middle Name:
Authorized Official Title or Position:
OWNER
Authorized Official Telephone Number:
636-947-9111

Provider Taxonomy Codes

  • Taxonomy code: 111N00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 109366 . This is a "HEALTHLINK" identifier , issued by the state of ( MO ) . This identifiers is of the category "OTHER".
  • Identifier: T42943 . This is a "UPIN" identifier , issued by the state of ( MO ) . This identifiers is of the category "OTHER".
  • Identifier: 188175 . This is a "GHP" identifier , issued by the state of ( MO ) . This identifiers is of the category "OTHER".
  • Identifier: 21276 . This is a "BLUE CROSS BLUE SHIELD" identifier , issued by the state of ( MO ) . This identifiers is of the category "OTHER".
  • Identifier: 25125 . This is a "CARPENTER" identifier , issued by the state of ( MO ) . This identifiers is of the category "OTHER".
  • Identifier: 350038581 . This is a "RAILROAD MEDICARE" identifier , issued by the state of ( MO ) . This identifiers is of the category "OTHER".
  • Identifier: 4400455 . This is a "UHC" identifier , issued by the state of ( MO ) . This identifiers is of the category "OTHER".




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