Provider Demographics
NPI:1306431911
Name:MCQUALITY, ELIZABETH MAE (DC)
Entity type:Individual
Prefix:
First Name:ELIZABETH
Middle Name:MAE
Last Name:MCQUALITY
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:ELIZABETH
Other - Middle Name:MAE
Other - Last Name:LERSCH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DC
Mailing Address - Street 1:6257 RONALD REAGAN DR
Mailing Address - Street 2:
Mailing Address - City:LAKE ST LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63367-2665
Mailing Address - Country:US
Mailing Address - Phone:636-625-1772
Mailing Address - Fax:636-625-2330
Practice Address - Street 1:6307 HAZELWEST CT
Practice Address - Street 2:
Practice Address - City:HAZELWOOD
Practice Address - State:MO
Practice Address - Zip Code:63042-1739
Practice Address - Country:US
Practice Address - Phone:314-731-6006
Practice Address - Fax:314-731-4832
Is Sole Proprietor?:No
Enumeration Date:2021-03-05
Last Update Date:2023-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2021002368111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor