| Lionsgate Chiropractic Center For Wellness Pa | |
|
14201 Metcalf Ave, Overland Park, KS 66223-3367 | |
| (913) 814-9494 | |
| Not Available |
| Full Name | Lionsgate Chiropractic Center For Wellness Pa |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 14201 Metcalf Ave, Overland Park, Kansas |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578887352 | NPI | - | NPPES |
| 33941015 | Other | MO | BLUE CROSS BLUE SHIELD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | 01-03367 (Kansas) | Primary |
| Provider Name | Thomas E Forbach |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1447314422 PECOS PAC ID: 3779571732 Enrollment ID: I20040507000470 |
| Provider Name | Rodney P Smith |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1720087380 PECOS PAC ID: 6204909021 Enrollment ID: I20111017000431 |
| Provider Name | Amy Van |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1104540053 PECOS PAC ID: 3678940996 Enrollment ID: I20221031000096 |
| Mailing Address | Practice Location Address |
|---|---|
| Lionsgate Chiropractic Center For Wellness Pa 14201 Metcalf Ave, Overland Park, KS 66223-3367 Ph: (913) 814-9494 | Lionsgate Chiropractic Center For Wellness Pa 14201 Metcalf Ave, Overland Park, KS 66223-3367 Ph: (913) 814-9494 |
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