Chiropractic House Llc | |
11709 College Blvd, Overland Park, KS 66210-1398 | |
(913) 228-0123 | |
Not Available |
Full Name | Chiropractic House Llc |
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Type | Facility |
Speciality | Chiropractor |
Location | 11709 College Blvd, Overland Park, Kansas |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1275251423 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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111N00000X | Chiropractor | (* (Not Available)) | Primary |
Provider Name | Taylor M Jacobs |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1851039135 PECOS PAC ID: 0547626541 Enrollment ID: I20230517002271 |
Mailing Address | Practice Location Address |
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Chiropractic House Llc 11709 College Blvd, Overland Park, KS 66210-1398 Ph: (913) 228-0123 | Chiropractic House Llc 11709 College Blvd, Overland Park, KS 66210-1398 Ph: (913) 228-0123 |
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