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LAKE ST. LOUIS CHIROPRACTIC
NPI 1649454661
Chiropractor in Ofallon, MO

Active since December 27, 2007
2161 WEST TERRA LANE, OFALLON, MO 63366(636) 887-9003(636) 327-6090 Get Directions Write a Review

NPPES record last updated: February 4, 2009. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Lake St. Louis Chiropractic NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LAKE ST. LOUIS CHIROPRACTIC (NPI 1649454661) is a healthcare organization registered as a chiropractor in Ofallon, Missouri and active in the NPI registry since December 2007. The organization lists Jason C Fowler, Owner, as its authorized official.

NPPES Registry Identity

NPI1649454661
Entity TypeOrganization
Primary Taxonomy111N00000X
Legal Business NameLAKE ST. LOUIS CHIROPRACTIC
Location Address2161 WEST TERRA LANEOfallon, MO 63366-2366
Mailing Address2161 West Terra LaneOfallon, MO 63366-2366 · (636) 887-9003 · Fax (636) 327-6090
Phone(636) 887-9003
Fax(636) 327-6090
Organization SubpartNo
Authorized OfficialJason C FowlerOwner · (636) 887-9003
Enumeration DateDecember 27, 2007
Last NPPES UpdateFebruary 4, 2009
✔ NPI 1649454661 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in MO · 2007032057
Definition
A 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.
2161 WEST TERRA LANE, Ofallon, MO 63366
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Other Identifiers 3

Medicare PINMA1173MO
OtherD00754MO · Rr Medicare
OtherPENDINGBcbs

Group Practice 1

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

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lake St. Louis Chiropractic's NPI number?

The NPI number for Lake St. Louis Chiropractic is 1649454661. It was assigned to this organization in the NPPES registry on December 27, 2007.

Where is Lake St. Louis Chiropractic located?

Lake St. Louis Chiropractic is located at 2161 West Terra Lane, Ofallon, MO 63366. The listed phone number is (636) 887-9003.

What is Lake St. Louis Chiropractic's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

When was this NPI record last updated?

The NPPES record for Lake St. Louis Chiropractic was last updated on February 4, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.