Provider Demographics
NPI:1699963439
Name:FURJES CHIROPRACTIC OFFICES, PC
Entity type:Organization
Organization Name:FURJES CHIROPRACTIC OFFICES, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:STEPHEN
Authorized Official - Middle Name:
Authorized Official - Last Name:FURJES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:636-947-9111
Mailing Address - Street 1:222 S 2ND ST
Mailing Address - Street 2:
Mailing Address - City:SAINT CHARLES
Mailing Address - State:MO
Mailing Address - Zip Code:63301-2809
Mailing Address - Country:US
Mailing Address - Phone:636-947-9111
Mailing Address - Fax:636-947-0781
Practice Address - Street 1:222 S 2ND ST
Practice Address - Street 2:
Practice Address - City:SAINT CHARLES
Practice Address - State:MO
Practice Address - Zip Code:63301-2809
Practice Address - Country:US
Practice Address - Phone:636-947-9111
Practice Address - Fax:636-947-0781
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-10-05
Last Update Date:2007-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO109366OtherHEALTHLINK
MOT42943OtherUPIN
MO188175OtherGHP
MO21276OtherBLUE CROSS BLUE SHIELD
MO25125OtherCARPENTER
MO350038581OtherRAILROAD MEDICARE
MO4400455OtherUHC
MO000030049Medicare PIN