Individual provider · Type 1 NPI
Benjamin Lee Gokenbach, DC
Chiropractor · St. Louis, MO
NPI number
1073089413
Active
Practice location
4242 Telegraph Rd
St. Louis, MO 63129-2658
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Rehabilitation Chiropractor | 111NR0400X | 2018031274 (MO) |
| Sports Physician Chiropractor | 111NS0005X | 2018031274 (MO) |
| Chiropractor Primary | 111N00000X | 2018031274 (MO) |
Chiropractor: 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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About NPI 1073089413
Benjamin Lee Gokenbach, DC's National Provider Identifier is 1073089413, issued on Oct 23, 2018. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in St. Louis, MO. The record was last updated on Oct 23, 2018.