Goodrum Health Enterprises Pa | |
153 W 151st St, Suite 150, Olathe, KS 66061-5348 | |
(913) 390-9355 | |
(913) 390-9356 |
Full Name | Goodrum Health Enterprises Pa |
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Type | Facility |
Speciality | Chiropractor |
Location | 153 W 151st St, Olathe, Kansas |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1669613550 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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111N00000X | Chiropractor | 5164 (Kansas) | Primary |
Provider Name | Jeremy L Goodrum |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1912187006 PECOS PAC ID: 2961585716 Enrollment ID: I20080216000095 |
Mailing Address | Practice Location Address |
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Goodrum Health Enterprises Pa 153 W 151st St, Suite 150, Olathe, KS 66061-5348 Ph: (913) 390-9355 | Goodrum Health Enterprises Pa 153 W 151st St, Suite 150, Olathe, KS 66061-5348 Ph: (913) 390-9355 |
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