Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Fortieth & Vineyard Company LLC

Organization Prosthetics Case Management · NPI 1851071898

Fortieth & Vineyard Company LLC is a Prosthetics Case Management in Chesterfield, Missouri. Registered with an NPI since 2023.

In the registry since
2023
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

10781 N Outer 40 Road 117
Chesterfield, MO 63005
Phone: (314) 496-0178
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Prosthetics Case Management (primary) Taxonomy 1744P3200X

Record details

NPI number1851071898
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Stacey Pegues — Cranial Prosthesis Specialists · (314) 496-0178
Other names Wigs 2 Wellness
NPI enumeratedJuly 24, 2023
Last updated in NPPESJuly 24, 2023
Certification dateJuly 20, 2023
Mailing address2369 Wesford Dr, Maryland Heights, MO 63043-4147

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