Organization Active NPI

Poehlein Chiropractic Wellness LLC

  • Chiropractor
  • Columbia, MO
National Provider Identifier
1265751606
Registry record updated May 25, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2010008817 Issued in MO
Legal business name
POEHLEIN CHIROPRACTIC WELLNESS LLC
Practice address
5013 Glencairn Dr
Columbia, MO 65203-5104
Phone
(573) 808-3101
NPI assigned
May 25, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 25, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Eric Robert Poehlein, D.C., M.B.A.
Title
Owner/Ceo
Phone
(573) 808-3101

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 2010008817 MO Primary

Addresses

Primary practice location

5013 Glencairn Dr
Columbia, MO 65203-5104

Mailing address

5013 Glencairn Dr
Columbia, MO 65203-5104
Phone (573) 808-3101

Other identifiers 1

IdentifierTypeStateIssuer
2010008817OtherMOMISSOURI STATE BOARD OF CHIROPRACTIC EXAMINERS

Other names 1

  • Rock Bridge Chiropractic Wellness Doing business as

National Provider Directory

National Provider Directory

Locations

30 E Southampton Dr
Unit 105
Columbia, MO 65203
Phone (573) 808-3101

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1274745600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1274745600000",
    "number": "1265751606",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5013 GLENCAIRN DR",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652035104",
            "telephone_number": "573-808-3101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5013 GLENCAIRN DR",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652035104",
            "telephone_number": "573-808-3101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POEHLEIN CHIROPRACTIC WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-25",
        "last_updated": "2010-05-25",
        "status": "A",
        "authorized_official_last_name": "POEHLEIN",
        "authorized_official_first_name": "ERIC",
        "authorized_official_middle_name": "ROBERT",
        "authorized_official_title_or_position": "OWNER/CEO",
        "authorized_official_telephone_number": "573-808-3101",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C., M.B.A."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MO",
            "license": "2010008817",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MISSOURI STATE BOARD OF CHIROPRACTIC EXAMINERS",
            "identifier": "2010008817",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rock Bridge Chiropractic Wellness",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Columbia, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.