Peculiar Chiropractic And Sports Medicine Llc | |
201 S State Route C, Peculiar, MO 64078-9729 | |
(816) 779-1022 | |
Not Available |
Full Name | Peculiar Chiropractic And Sports Medicine Llc |
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Type | Facility |
Speciality | Chiropractor |
Location | 201 S State Route C, Peculiar, Missouri |
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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1568160364 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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111N00000X | Chiropractor | (* (Not Available)) | Primary |
111NI0013X | Chiropractor - Independent Medical Examiner | (* (Not Available)) | Secondary |
Provider Name | Thayer P Banwart |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1881076404 PECOS PAC ID: 2961706254 Enrollment ID: I20160208000036 |
Provider Name | Derek M Haug |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1932667284 PECOS PAC ID: 0446590756 Enrollment ID: I20190325001273 |
Mailing Address | Practice Location Address |
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Peculiar Chiropractic And Sports Medicine Llc 201 S State Route C, Peculiar, MO 64078-9729 Ph: (816) 779-1022 | Peculiar Chiropractic And Sports Medicine Llc 201 S State Route C, Peculiar, MO 64078-9729 Ph: (816) 779-1022 |
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