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Individual
LEONARD WAYNE BATEMAN
Active
Individual
LEONARD WAYNE BATEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
004289
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10272015
BLUE CROSS BLUE SHIELD
MO
01
—
14082
COVENTRY
MO
01
—
4400233
UNITED HEALTHCARE
MO
01
—
5340600
AETNA
MO
Enumeration date
07/26/2006
Last updated
02/02/2016
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