Felix Martin Yesquen, D.C.
Individual provider Active NPI Chiropractor · O'Fallon, MO
NPI 1073632717 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1073632717
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Chiropractor 111N00000X
- License
- 2005038621 (MO)
- Practice address
- 2315 Technology Dr. Ste. 107
O'Fallon, MO 63368 - Phone
- (636) 561-7774
- Fax
- (636) 625-8007
- NPI assigned
- Mar 27, 2007
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2005038621 | MO | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Total Performance Chiropractic LLC | Chiropractor | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 2005038621 | MO | Yes |
Addresses
Primary practice location
2315 Technology Dr. Ste. 107
O'Fallon, MO 63368
Mailing address
2315 Technology Dr. Ste. 107
O'Fallon, MO 63368
Phone (636) 561-7774
Other names
- Dr. Felix Martin Yesquen
Other providers in O'Fallon, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.