| Daniel Canamero Carrasco, DC | |
|
1131 W Main St, Blue Springs, MO 64015-3611 | |
| (816) 229-7561 | |
| Not Available |
| Full Name | Daniel Canamero Carrasco |
|---|---|
| Gender | Male |
| Speciality | Chiropractor |
| Location | 1131 W Main St, Blue Springs, Missouri |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174393730 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | 2023050817 (Missouri) | Primary |
| Provider Name | Core Medical Center Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1558733766 PECOS PAC ID: 0648576041 Enrollment ID: O20160310002343 |
| Mailing Address | Practice Location Address |
|---|---|
| Daniel Canamero Carrasco, DC 1131 W Main St, Blue Springs, MO 64015-3611 Ph: () - | Daniel Canamero Carrasco, DC 1131 W Main St, Blue Springs, MO 64015-3611 Ph: (816) 229-7561 |
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