Cornerstone Chiropractor Clinic LLC
Organization Active NPI Chiropractor · Salem, MO
NPI 1477867166 · NPPES record last updated Aug 26, 2015
Key facts
- NPI
- 1477867166
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Chiropractor 111N00000X
- License
- 005551 (MO)
- Legal business name
- CORNERSTONE CHIROPRACTOR CLINIC LLC
- Practice address
- 504 N Washington St
Salem, MO 65560-1268 - Phone
- (573) 729-5321
- Fax
- (573) 729-1010
- NPI assigned
- Aug 5, 2010
- Organization subpart
- No
Authorized official
- Name
- Dr. Bernard Donald Sirois Jr., D.C.
- Title
- Chiropractor
- Phone
- (573) 729-5321
Practitioners 3
-
Bernard D Sirios, D.C.
-
James A Gray, D.C.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MO
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20101025000033 | MO | Part B Supplier - Clinic/Group Practice | 6204029192 |
Receives reassigned benefits from 2 practitioners Practice locations: Salem, MO |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor |
111N00000X | 005551 | MO | Yes |
| Chiropractor |
111N00000X | 005352 | MO |
Addresses
Primary practice location
504 N Washington St
Salem, MO 65560-1268
Mailing address
504 N Washington St
Salem, MO 65560-1268
Phone (573) 729-5321
Other providers in Salem, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 26, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.