| Elevate Life Chiropractic | |
|
2004 Nw South Outer Rd Blue Springs MO 64015-6423 | |
| (816) 427-5244 | |
| (816) 427-5245 |
| Full Name | Elevate Life Chiropractic |
|---|---|
| Speciality | Clinic/Center |
| Location | 2004 Nw South Outer Rd, Blue Springs, Missouri |
| Authorized Official Name and Position | Annette Hurd (OWNER/OPERATOR) |
| Authorized Official Contact | 8164275244 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Elevate Life Chiropractic 2004 Nw South Outer Rd Blue Springs MO 64015-6423 Ph: (816) 427-5244 | Elevate Life Chiropractic 2004 Nw South Outer Rd Blue Springs MO 64015-6423 Ph: (816) 427-5244 |
| NPI Number | 1366100380 |
|---|---|
| Provider Enumeration Date | 12/07/2021 |
| Last Update Date | 07/13/2023 |
| Medicare PECOS PAC ID | 6305238551 |
|---|---|
| Medicare Enrollment ID | O20220119003070 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366100380 | NPI | - | NPPES |
| 1194483420 | Other | MO | NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
| Provider Name | Annette Elizabeth-horn Hurd |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1194483420 PECOS PAC ID: 1759773906 Enrollment ID: I20220119003123 |
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