DR. GLENN R. EZELL (NPI# 1942547062) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1942547062 |
Entity Type | Individual |
Full Name | DR. GLENN R. EZELL |
Credential | D.C. |
Practice Address |
2201 1st Capitol Dr Ste 101 Saint Charles MO 63301-5805 |
Practice Telephone | 6364856661 |
Practice Fax Number | 6369160668 |
Mailing Telephone | 6364856661 |
Enumeration Date | 2013-01-09 |
Last Update Date | 2020-04-29 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 111N00000X | Chiropractor | 2013000467 | MO | Chiropractic Providers |
Street Address |
2201 1ST CAPITOL DR STE 101 |
City | SAINT CHARLES |
State | MO |
Zip Code | 63301-5805 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1376189910 | Kelsey Fix | Occupational Therapist | 3228 Silvertrail Dr, Saint Charles, MO 63301 | 2019-11-19 |
1063056307 | Compass Health, Inc. | Clinic/Center | 3075 New Town Blvd, Saint Charles, MO 63301 | 2019-10-30 |
1558921361 | Next Steps Therapy & Coaching, LLC | Clinic/Center | 1040 Fairgrounds Road, St. Charles, MO 63301 | 2019-06-14 |
1093297426 | Delia Smith | Specialist/Technologist | 209 S Kingshighway, St. Charles, MO 63301 | 2018-09-01 |
1285136754 | Helping Hand Home Healthcare, LLC | Home Health | 1360 S 5th Street, Suite 278, Saint Charles, MO 63301 | 2018-03-01 |
1972043107 | Robert Christopher Loynd | Otolaryngology | 301 N. 2nd Street, St. Charles, MO 63301 | 2017-03-07 |
1457807067 | Angela Thro | Occupational Therapist | 3489 Boschertown Road, Saint Charles, MO 63301 | 2016-09-01 |
1487060570 | Missouri Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 2100 1st Capitol Dr, St. Charles, MO 63301 | 2014-07-09 |
1114337102 | Nucrown,inc. | Optometrist | 1910 First Capital Drive, St. Charles, MO 63301 | 2014-04-30 |
1780922476 | Kristen James | Counselor | 120 1st Capitol Dr Ste 5, Saint Charles, MO 63301 | 2013-01-30 |
Find all providers in zip 63301 |
Taxonomy Code | 111N00000X |
Grouping | Chiropractic Providers |
Classification | Chiropractor |
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1487212429 | Apex Chiropractic LLC | Chiropractor | 302 S Highland St, Saint Charles, IA 50240-1519 | 2019-06-04 |
1891158226 | Meagen Mateialona | Chiropractor | 115 S Saginaw St Ste 4, Saint Charles, MI 48655-1452 | 2016-04-02 |
1235590498 | Colleen Burmeister | Chiropractor | 2025 Zumbehl Rd # 165, Saint Charles, MO 63303-2723 | 2016-03-16 |
1407245814 | Chelsie Lee Arnold | Chiropractor | 20 Triad South Dr, Suite A, Saint Charles, MO 63304-3507 | 2015-01-22 |
1174949861 | Candice Mathis | Chiropractor | 2061 Collier Corporate Pkwy, Saint Charles, MO 63303-6701 | 2014-03-05 |
1700221769 | Cara Washburn | Chiropractor | 914 Hemsath Rd Ste 104a, Saint Charles, MO 63303-6582 | 2013-05-03 |
1336583962 | The Center for Natural Health, LLC | Chiropractor | 918 Hemsath Rd Ste 102b, Saint Charles, MO 63303-5949 | 2013-04-25 |
1720326358 | Amy Wicks | Chiropractor | 918 Hemsath Rd, Suite 102b, Saint Charles, MO 63303-5949 | 2013-01-16 |
1578819645 | Healthy Solutuions | Chiropractor | 5055 Highway N Ste 105, Saint Charles, MO 63304-8031 | 2012-07-26 |
1770846230 | Alan Presswood Dc PC | Chiropractor | 1960 S Old Highway 94, Saint Charles, MO 63303-3727 | 2012-06-20 |
Find all providers in SAINT CHARLES |
City | SAINT CHARLES |
Zip Code | 63301 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.