Individual
MICHAEL MERLYN MORACK
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
4014 S LYNN CT, SUITE A, INDEPENDENCE, MO 64055-3360
(816) 252-0800
(816) 252-1055
Mailing address
4014 S LYNN CT, SUITE A, INDEPENDENCE, MO 64055-3360
(816) 252-0800
(816) 252-1055
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
006665
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10853551
CAQH
MO
01
—
2183128
AETNA
MO
01
—
25697028
BLUE CROSS BLUE SHIELD
MO
01
—
416882
HEALTHLINK
MO
01
—
609181
UNITED HEALTHCARE/ACN
MO
01
—
POOO45774
RAILROAD MEDICARE
MO
Enumeration date
05/03/2006
Last updated
07/08/2007
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