Provider Demographics
NPI:1023170800
Name:ARMBRUSTER, DANIEL GERARD (DC)
Entity type:Individual
Prefix:
First Name:DANIEL
Middle Name:GERARD
Last Name:ARMBRUSTER
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2730 WATSON RD
Mailing Address - Street 2:
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63139-2721
Mailing Address - Country:US
Mailing Address - Phone:314-963-0117
Mailing Address - Fax:
Practice Address - Street 1:2730 WATSON RD
Practice Address - Street 2:
Practice Address - City:ST LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63139
Practice Address - Country:US
Practice Address - Phone:314-832-3344
Practice Address - Fax:314-832-3833
Is Sole Proprietor?:No
Enumeration Date:2006-12-15
Last Update Date:2020-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO24006935171100000X
MO005929111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
No171100000XOther Service ProvidersAcupuncturist
Provider Identifiers
StateIdentifier IDID TypeIssuer
U13098Medicare UPIN