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Contact Information

DANIEL L ROACH, D.C.
704 N STATE HIGHWAY 47
WARRENTON, MO63383-1108
 Phone: 636-400-3213
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Chiropractor

111N00000X 35 Chiropractic
 

Durable Medical Equipment & Medical Supplies

332B00000X 54 Other Medical Supply Company
 

Orthotics/Prosthetics Fitter

225000000X
Indicates primary specialty

NPI Profile & details for DANIEL L ROACH · (Male)

NPI # 1760791511
Status Active
Credentials D.C. (Doctor of Chiropractic)
Entity Individual
Enumeration date 09/28/2010
Last updated 07/29/2022 - About 4 years ago
Sole proprietor 1 Yes
Identifiers
  • MO License # 2010033249
  • MO Medicaid 830068901
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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