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Organization
EXCELSIOR CHIROPRACTIC CENTER, PC
Active
Organization
EXCELSIOR CHIROPRACTIC CENTER, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. INA M BERRY OM (OFFICE MANAGER)
(816) 620-6211
Entity
Organization
Contact information
Practice address
1000 N JESSE JAMES RD STE 3, EXCELSIOR SPRINGS, MO 64024-1244
(816) 620-6211
(816) 630-6211
Mailing address
1000 N JESSE JAMES RD STE 3, EXCELSIOR SPRINGS, MO 64024-1244
(816) 620-6211
(816) 630-6211
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
005147
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12330037
BLUE CROSS BLUE SHIELD OF
MO
01
—
2032917
CIGNA
MO
01
—
4400182
UNITED HEALTH CARE
MO
01
—
4412828
AETNA
MO
01
—
532434
BCBS KS
KS
01
—
P00058846
RRMEDC
MO
01
—
T73784
HUMANA
MO
01
—
T78406
UPIN
MO
Enumeration date
08/31/2007
Last updated
08/31/2007
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