Provider Demographics
NPI:1689398737
Name:PROPST, ANNA NICOLE (DC)
Entity type:Individual
Prefix:DR
First Name:ANNA
Middle Name:NICOLE
Last Name:PROPST
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13895 SCHWEISS LN
Mailing Address - Street 2:
Mailing Address - City:STE GENEVIEVE
Mailing Address - State:MO
Mailing Address - Zip Code:63670-8857
Mailing Address - Country:US
Mailing Address - Phone:573-535-4609
Mailing Address - Fax:
Practice Address - Street 1:15 E MAIN ST
Practice Address - Street 2:
Practice Address - City:PARK HILLS
Practice Address - State:MO
Practice Address - Zip Code:63601-2613
Practice Address - Country:US
Practice Address - Phone:573-327-9311
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-10-03
Last Update Date:2024-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2022047850111N00000X, 111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor