Morack Chiropractic Center, P.c. | |
4014a S Lynn Ct Dr Independence MO 64055-3360 | |
(816) 252-0800 | |
(816) 252-1055 |
Full Name | Morack Chiropractic Center, P.c. |
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Speciality | Clinic/Center |
Location | 4014a S Lynn Ct Dr, Independence, Missouri |
Authorized Official Name and Position | Michael M Morack (OWNER/CHIROPRACTOR) |
Authorized Official Contact | 8162520800 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Morack Chiropractic Center, P.c. 4014a S Lynn Ct Dr Independence MO 64055-3360 Ph: (816) 252-0800 | Morack Chiropractic Center, P.c. 4014a S Lynn Ct Dr Independence MO 64055-3360 Ph: (816) 252-0800 |
NPI Number | 1811186372 |
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Provider Enumeration Date | 10/22/2007 |
Last Update Date | 10/22/2007 |
Medicare PECOS PAC ID | 6507033552 |
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Medicare Enrollment ID | O20120117000140 |
Identifier | Type | State | Issuer |
---|---|---|---|
1811186372 | NPI | - | NPPES |
1235197831 | Other | INDIVIDUAL NPI |
Taxonomy | Type | License (State) | Status |
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261Q00000X | Clinic/center | 006665 (Missouri) | Primary |
Provider Name | Michael M Morack |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1235197831 PECOS PAC ID: 3678740628 Enrollment ID: I20120117000161 |
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