Mid-America Spine & Rehab LLC
NPI 1770647869ActiveOrganization· Chiropractor, Rehabilitation· Des Peres, MO
Chiropractor, Rehabilitation in Des Peres, Missouri, registered in NPPES in December 2006. The authorized official on file is Robert Bruce Einertson, D.C., Administrator Owner. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1770647869 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Dec 21, 2006 |
| Last updated in NPPES | Dec 7, 2020 |
| Certified by provider | Dec 7, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Chiropractor, Rehabilitation Primary | 111NR0400X | 5905 | MO |
| Physical Therapist | 225100000X | 01530 | MO |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (MO) |
|---|
Other Chiropractor, Rehabilitation providers in Des Peres
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