Provider Demographics
NPI:1316787476
Name:ARTHRITIS WELLNESS CARE SC
Entity type:Organization
Organization Name:ARTHRITIS WELLNESS CARE SC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:SAULAT
Authorized Official - Middle Name:
Authorized Official - Last Name:MUSHTAQ
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:618-806-6676
Mailing Address - Street 1:691 TRADE CENTER BLVD
Mailing Address - Street 2:PMB PPP
Mailing Address - City:CHESTERFIELD
Mailing Address - State:MO
Mailing Address - Zip Code:63005
Mailing Address - Country:US
Mailing Address - Phone:618-806-6676
Mailing Address - Fax:
Practice Address - Street 1:159 E MCARTHUR DR STE 3
Practice Address - Street 2:
Practice Address - City:BETHALTO
Practice Address - State:IL
Practice Address - Zip Code:62010-1918
Practice Address - Country:US
Practice Address - Phone:618-806-6676
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-05-28
Last Update Date:2024-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RR0500XAllopathic & Osteopathic PhysiciansInternal MedicineRheumatologyGroup - Single Specialty