WASHINGTON CHIROPRACTIC CLINIC PC NPI 1134305535

Chiropractor in Washington, MO

NPI 1134305535 Organization Chiropractor CLIA Number 26D0437934 CLIA Certificate of Waiver

About WASHINGTON CHIROPRACTIC CLINIC PC

Washington Chiropractic Clinic Pc is a provider established in Washington, Missouri specializing in chiropractor. The NPI number of Washington Chiropractic Clinic Pc is 1134305535 and was assigned on January 2008. The practitioner's primary taxonomy code is 111N00000X with license number 004376 (MO). The provider is registered as an organization and their NPI record was last updated 14 years ago. Washington Chiropractic Clinic Pc operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The authorized official of this NPI record is Dr. Lawrence Myles Gerstein Dc (Chiropractor/owner)

A chiropractor like Washington Chiropractic Clinic Pc helps patients with problems of the neuromusculoskeletal system, which includes nerves, bones, muscles, ligaments, and tendons. Chiropractors use spinal adjustments and manipulation, as well as other clinical interventions, to manage health issues such as back and neck pain. Some chiropractors apply procedures like massage therapy, rehabilitative exercise, ultrasound and spinal adjustments and manipulation. A chiropractor focuses on the patients overall health and might refer patients to other healthcare professionals if necessary.

The CLIA number of Washington Chiropractic Clinic Pc is 26D0437934 registered as a "physician office" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to Washington Chiropractic Clinic Pc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

NPI

1134305535

Provider NameWASHINGTON CHIROPRACTIC CLINIC PC
Provider Location Address819 W 5TH ST WASHINGTON, MO 63090
Provider Mailing Address819 W 5TH ST WASHINGTON, MO 63090
NPI Entity TypeOrganization
Is Sole Proprietor?N/A
Is Organization Subpart?No
Enumeration Date01-15-2008
Last Update Date04-28-2008


Primary Taxonomy

Taxonomy Code111N00000X
ClassificationChiropractor
TypeChiropractic Providers
License No.004376
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.

Business Address

WASHINGTON CHIROPRACTIC CLINIC PC
819 W 5TH ST
WASHINGTON, MO
ZIP 63090
Phone: (636) 239-4454
Fax: (636) 239-9449

Get Directions


Mailing Address

WASHINGTON CHIROPRACTIC CLINIC PC
819 W 5TH ST
WASHINGTON, MO
ZIP 63090
Phone: (636) 239-4454
Fax: (636) 239-9449



Authorized Official

Authorized Official NameDR. LAWRENCE MYLES GERSTEIN DC
Authorized Official TitleCHIROPRACTOR/OWNER
Authorized Official Phone(636) 239-4454

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for the NPI number 1134305535 is:

CLIA Number26D0437934
Facility TypePHYSICIAN OFFICE
Certificate TypeCertificate of Waiver

Group Taxonomy


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.

Additional Identifiers


Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State
T43344MEDICARE UPIN (02)MO
000015605MEDICARE PIN (08)MO

Other Providers at the same location


The following 5 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1851391247DR. LAWRENCE MYLES GERSTEIN DC
Individual
Chiropractor819 W 5TH ST
WASHINGTON, MO 63090
(636) 239-4454
1134415995DR. JUSTIN DANIEL DAVIS D.C.
Individual
Chiropractor819 W 5TH ST
WASHINGTON, MO 63090
(636) 239-4454
1619263480DAVIS CHIROPRACTIC CENTER LLC
Organization
Clinic/Center819 W 5TH ST
WASHINGTON, MO 63090
(636) 239-4454
1194147066FELDMANN CHIROPRACTIC, LLC
Organization
Chiropractor819 W 5TH ST
WASHINGTON, MO 63090
(636) 239-4454
1245652106 KRISTOPHER FELDMANN D.C.
Individual
Chiropractor819 W 5TH ST
WASHINGTON, MO 63090
(636) 239-4454

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider 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 Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type 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)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart 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.

Provider Other Organization Name
The other organization name is 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. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary 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.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.