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Individual
DR. THAYER BANWART
Active
Individual
DR. THAYER BANWART
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
01-05732
KS
111N00000X
Chiropractor
Primary
2015018443
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1619465945
TYPE 2 ORGANIZATION NPI ARC
MO
01
—
1912577461
TYPE 2 ORGANIZATION NPI PECULIAR CHIROPRACTIC
MO
01
—
58109017
ARC BCBS PROVIDER ID
MO
01
—
65182016
PECULIAR CHIROPRACTIC BCBS PROVIDER ID
MO
Enumeration date
06/19/2015
Last updated
11/15/2022
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