Liberty Chiropractic Center Llc | |
257 W Mill St, Liberty, MO 64068-2339 | |
(816) 781-8810 | |
(816) 781-3468 |
Full Name | Liberty Chiropractic Center Llc |
---|---|
Type | Facility |
Speciality | Chiropractor |
Location | 257 W Mill St, Liberty, Missouri |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1811019474 | NPI | - | NPPES |
T200000 | Other | MO | MEDICARE GROUP NUMBER |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
111N00000X | Chiropractor | 2004003314 (Missouri) | Primary |
Provider Name | Phillip Shayne Chapman |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1992728505 PECOS PAC ID: 9638125800 Enrollment ID: I20050330001023 |
Mailing Address | Practice Location Address |
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Liberty Chiropractic Center Llc 257 W Mill St, Liberty, MO 64068-2339 Ph: (816) 781-8810 | Liberty Chiropractic Center Llc 257 W Mill St, Liberty, MO 64068-2339 Ph: (816) 781-8810 |
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