Ernstrom Spinal Rehab LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

2010016363 Issued in MO

Legal business name

ERNSTROM SPINAL REHAB LLC

Practice address

908 Doresay LN
Chesterfield, MO 63017-1450

Phone

(208) 569-7825

Fax

(636) 775-2075

NPI assigned

Oct 29, 2013

Last updated

Oct 29, 2013By 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

Edward J Ernstrom, DCNPI 1528379443

Title

Owner/Chiropractor

Phone

(208) 520-7109

Specialties & licenses 1

Addresses

Locations

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.

• Edward J Ernstrom, D.C.

  • Chiropractor
  • Chesterfield, MO
  • NPI 1528379443
  NPD (past) Authorized official

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

{
    "created_epoch": "1383004800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1383004800000",
    "number": "1538597679",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 CHESTERFIELD CTR",
            "address_2": "SUITE 140",
            "city": "CHESTERFIELD",
            "state": "MO",
            "postal_code": "630174867",
            "telephone_number": "208-520-7109",
            "fax_number": "636-775-2075"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "908 DORESAY LN",
            "city": "CHESTERFIELD",
            "state": "MO",
            "postal_code": "630171450",
            "telephone_number": "208-569-7825",
            "fax_number": "636-775-2075"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ERNSTROM SPINAL REHAB LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-29",
        "last_updated": "2013-10-29",
        "status": "A",
        "authorized_official_last_name": "ERNSTROM",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER/CHIROPRACTOR",
        "authorized_official_telephone_number": "208-520-7109",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MO",
            "license": "2010016363",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Epideme Enterprise Healthcare LLC (Epideme Healthcare)
• Mary G Epperson, PNP
• Era ABA Mo LLC
• Eric M. Foss, D.D.S., M.S., P. C. (St. Louis County Endodontics, Ltd.)
• Laura Marie Ernst, M.A., CCC-SLP
• Edward J Ernstrom, D.C.
• Michael A Essner, DPT
• Sarah Christine Esswein, PLPC
• James H. Esther, M.D.
• Melissa N Estrada

• Chiropractor in Chesterfield, MO
• Providers in Chesterfield, MO by specialty
• Chiropractor in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2013; 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.