Provider Demographics
NPI:1063105062
Name:NEIGHBORHOOD NEUROPATHY MIDWEST LLC
Entity type:Organization
Organization Name:NEIGHBORHOOD NEUROPATHY MIDWEST LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:STEVEN
Authorized Official - Middle Name:ALAN
Authorized Official - Last Name:ZILKE
Authorized Official - Suffix:
Authorized Official - Credentials:PT DC
Authorized Official - Phone:314-408-8080
Mailing Address - Street 1:8460 WATSON RD STE 110
Mailing Address - Street 2:
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63119-5273
Mailing Address - Country:US
Mailing Address - Phone:314-408-8080
Mailing Address - Fax:
Practice Address - Street 1:8460 WATSON RD STE 110
Practice Address - Street 2:
Practice Address - City:SAINT LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63119-5273
Practice Address - Country:US
Practice Address - Phone:314-408-8080
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-05-26
Last Update Date:2023-05-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty