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Dr. Deborah Lee Ebert Grommet, DC
Chiropractor in Herculaneum, Missouri
NPI 1528002169

Deborah Lee Ebert Grommet is a Chiropractor based in Herculaneum, MO. Deborah Lee Ebert Grommet practices in Herculaneum, MO and has the professional credentials of DC. The NPI Number for Deborah Lee Ebert Grommet is 1528002169 and holds a License No. 005254 (Missouri).

The current practice location address for Deborah Lee Ebert Grommet is 1055 Commercial Blvd, Herculaneum, MO and can be reached out via phone at 636-475-4477 and via fax at 636-475-4477.

Location: 1055 Commercial Blvd, Herculaneum, MO, 63048-1415
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1528002169
Provider Name
Deborah Lee Ebert Grommet
Credential
DC
Provider Entity Type
Individual
Gender
Female
Address
1055 Commercial Blvd, Herculaneum, MO, 63048-1415
Phone Number
636-475-4477
Fax Number
636-475-4477
Provider Enumeration Date
06/15/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
5944 01 MO BC BS
1830285 01 MO TAX ID NUMBER
4406400 01 MO UNITED HEALTH CARE
institution
Provider Business Practice Location Address Details
Address
1055 Commercial Blvd
City
Herculaneum
State
Missouri
Zip
63048-1415
Phone Number
636-475-4477
Fax Number
636-475-4477
person
Provider Business Mailing Address Details
Address
1055 Commercial Blvd
City
Herculaneum
State
Missouri
Zip
63048-1415
Phone Number
636-475-4477
Fax Number
636-475-4477
person
Provider's Taxonomy Details 1
Type
Chiropractic Providers
Classification
Chiropractor
Speciality
-
Taxonomy
111N00000X
License No.
005254 (Missouri)
Definition
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.
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