Active NPI
Poehlein Chiropractic Wellness LLC
- Chiropractor
- Columbia, MO
National Provider Identifier
1265751606
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 2010008817
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2010008817 | Other | MO | MISSOURI STATE BOARD OF CHIROPRACTIC EXAMINERS |
Other names 1
- Rock Bridge Chiropractic Wellness
National Provider Directory
National Provider DirectoryLocations
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.