BUCK CHIROPRACTIC, LLC NPI 1003003476

Chiropractor in Saint Louis, MO

About BUCK CHIROPRACTIC, LLC

Buck Chiropractic, Llc is a provider in Saint Louis, MO. The NPI number assigned to this provider is 1003003476. The practitioner's primary taxonomy code is Chiropractor (111N00000X). The provider is registered as an organization and their NPI record was last updated 3 years ago. Buck Chiropractic, Llc operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The provider's other name is Buck Chiropractic.

NPI1003003476 Additional informationCallout TooltipNational Provider Indentifier (NPI)
The 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.
Provider NameBUCK CHIROPRACTIC, LLC
Provider Location Address8641 WATSON RD SAINT LOUIS, MO 63119 Additional informationCallout TooltipProvider location address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
Provider Mailing Address8641 WATSON RD SAINT LOUIS, MO 63119 Additional informationCallout TooltipProvider mailing address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.
NPI Entity TypeOrganization Additional informationCallout TooltipEntity type code
The code describing the type of health care provider that is being assigned an NPI.
Codes are:
1 = (Person): individual human being who furnishes health care;
2 = (Non-person): entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO).
Is Sole Proprietor?N/A
Is Organization Subpart?No Additional informationCallout TooltipWhat is a subpart?
Subparts are the components and separate physical locations of organization health care providers. Examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.
Other Organization NameBUCK CHIROPRACTIC Additional informationCallout TooltipProvider other organization name
The alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. Codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.
Other Name TypeOther Name (5)
Enumeration Date10-01-2007 Additional informationCallout TooltipProvider enumeration date
The date the provider was assigned a unique identifier (assigned an NPI)
Last Update Date07-22-2014 Additional informationCallout TooltipLast update date
The date that a record was last updated or changed.

Business Address

BUCK CHIROPRACTIC, LLC
8641 WATSON RD
SAINT LOUIS, MO
ZIP 63119
Phone: (314) 374-2503
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Mailing Address

BUCK CHIROPRACTIC, LLC
8641 WATSON RD
SAINT LOUIS, MO
ZIP 63119
Phone: (314) 374-2503

Primary Taxonomy

Taxonomy Code111N00000X Additional informationCallout TooltipPrimary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
ClassificationChiropractor
TypeChiropractic Providers
License No.2007000246
License StateMO
Taxonomy DescriptionA provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.

Authorized Official

Authorized Official NameDR. MATTHEW J BUCK D.C. Additional informationCallout TooltipAuthorized official name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.
Authorized Official TitleOWNER
Authorized Official Phone(314) 962-3130

193400000X SINGLE SPECIALTY GROUP - This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Map Location


BUCK CHIROPRACTIC, LLC address is 8641 WATSON RD SAINT LOUIS, MO 63119

Other Providers at the same location


The following 2 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1417162512DR. MATTHEW JAMES BUCK D.C.
Individual
Chiropractor8641 WATSON RD
SAINT LOUIS, MO 63119
(314) 962-3130
1871594606DR. MARK J MAHER D.C.
Individual
Chiropractor8641 WATSON RD
SAINT LOUIS, MO 63119
(314) 962-3130