Dr. Benjamin Lee Gokenbach
Chiropractor Rehabilitation Chiropractor Chiropractic Sports Physician
4242 Telegraph Rd
Saint Louis
, Missouri 63129-2658
Dr. Benjamin Lee Gokenbach
Chiropractor Rehabilitation Chiropractor Chiropractic Sports Physician
4242 Telegraph Rd
Saint Louis
, Missouri 63129-2658
(314) 487-1456
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About
Features
Specialties
- Chiropractor
- Rehabilitation Chiropractor
- Chiropractic Sports Physician
Languages spoken
- English
Location
First Address
- Dr. Benjamin Lee Gokenbach
- 4242 Telegraph Rd
- Saint Louis, MO
- Zip : 63129-2658
- Phone : (314) 487-1456
Second Address
- Dr. Benjamin Lee Gokenbach
- 4242 Telegraph Rd
- Saint Louis, MO
- Zip : 63129-2658
- Phone : (314) 487-1456
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 2018031274 | MO |
| N | 111NR0400X | Rehabilitation Chiropractor | 2018031274 | MO |
| N | 111NS0005X | Chiropractic Sports Physician | 2018031274 | MO |
National Provider Identifier
| NPI | 1073089413 |
|---|---|
| Provider Name | Dr. Benjamin Lee Gokenbach |
| First Address | Saint Louis, MO 63129-2658 |
| Second Address | Saint Louis, MO 63129-2658 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 23/10/2018 |
| Last Update Date | 23/10/2018 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.