| Hannah Goltz, DC | |
|
12140 Nall Ave Ste 115, Overland Park, KS 66209-2503 | |
| (913) 257-5530 | |
| Not Available |
| Full Name | Hannah Goltz |
|---|---|
| Gender | Female |
| Speciality | Chiropractor |
| Location | 12140 Nall Ave Ste 115, Overland Park, Kansas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942071436 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | 01-06297 (Kansas) | Primary |
| Provider Name | Myocore Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1316138316 PECOS PAC ID: 9830267277 Enrollment ID: O20200424002346 |
| Mailing Address | Practice Location Address |
|---|---|
| Hannah Goltz, DC 2625 Butterfield Rd Ste 301n, Oak Brook, IL 60523-1266 Ph: () - | Hannah Goltz, DC 12140 Nall Ave Ste 115, Overland Park, KS 66209-2503 Ph: (913) 257-5530 |
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