Chiropractic Wellness Center of St Louis LLC

Primary specialty

Health Service Clinic/CenterTaxonomy code 261QH0100X

License

2011012193 Issued in MO

Legal business name

CHIROPRACTIC WELLNESS CENTER OF ST LOUIS LLC

Doing business as

Chiropractic Wellness Center of South County

Practice address

1747 Smizer Station Rd
Ste. 4
Fenton, MO 63026-2784

Phone

(636) 825-6555

Fax

(636) 825-6546

NPI assigned

May 11, 2011

Last updated

Jul 13, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Lorenelle Lofquist, D.C.NPI 1255632238

Title

Owner

Phone

(636) 825-6555

Specialties & licenses 1

Addresses

Other names 1

• Chiropractic Wellness Center of South County Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Lorenelle Lofquist, D.C.

  • Chiropractor
  • Fenton, MO
  • NPI 1255632238
  Authorized official Same address or phone

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

{
    "created_epoch": "1305072000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1310515200000",
    "number": "1508158445",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1747 SMIZER STATION RD",
            "address_2": "STE. 4",
            "city": "FENTON",
            "state": "MO",
            "postal_code": "630262784",
            "telephone_number": "636-825-6555",
            "fax_number": "636-825-6546"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1747 SMIZER STATION RD",
            "address_2": "STE. 4",
            "city": "FENTON",
            "state": "MO",
            "postal_code": "630262784",
            "telephone_number": "636-825-6555",
            "fax_number": "636-825-6546"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHIROPRACTIC WELLNESS CENTER OF ST LOUIS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-11",
        "last_updated": "2011-07-13",
        "status": "A",
        "authorized_official_last_name": "LOFQUIST",
        "authorized_official_first_name": "LORENELLE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "636-825-6555",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "MO",
            "license": "2011012193",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Chiropractic Wellness Center of South County",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Sheri Chau, PHARM.D.
• Cherry Tree Nutrition, LLC
• Chiropractic Accident Center of Fenton, P.C.
• Chiropractic Family Wellness Center LLC (Chiropractic Wellness Center)
• Chiropractic Wellness Center
• Chotchai Srisuro, M.D., Inc.
• Anthony Clark, D.D.S.
• Victor Lee Clark, D.M.D.
• Clarkson Optometry Inc (Clarkson Eyecare)
• Clayton R Perry, MD PC

• Health Service Clinic/Center in Fenton, MO
• Providers in Fenton, MO by specialty
• Health Service Clinic/Center in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2011; 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.