Liberty Park Chiropractic, Llc | |
1508 Ne 96th St, Suite B, Liberty, MO 64068-1348 | |
(816) 407-7200 | |
(816) 407-7222 |
Full Name | Liberty Park Chiropractic, Llc |
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Type | Facility |
Speciality | Chiropractor |
Location | 1508 Ne 96th 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 |
---|---|---|---|
1639344948 | NPI | - | NPPES |
40026012 | Other | MO | BCBS |
Taxonomy | Type | License (State) | Status |
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111N00000X | Chiropractor | 2006008609 (Missouri) | Primary |
Provider Name | Jason Ashley Hutchison |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1730104845 PECOS PAC ID: 0941372585 Enrollment ID: I20080626000462 |
Provider Name | John W Krim |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1811347743 PECOS PAC ID: 6103196159 Enrollment ID: I20210507000393 |
Mailing Address | Practice Location Address |
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Liberty Park Chiropractic, Llc 1508 Ne 96th St, Suite B, Liberty, MO 64068-1348 Ph: (816) 407-7200 | Liberty Park Chiropractic, Llc 1508 Ne 96th St, Suite B, Liberty, MO 64068-1348 Ph: (816) 407-7200 |
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