Organization
LEE'S SUMMIT CHIROPRACTIC CENTER P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHASE JORDANE VIFQUAIN D.C. (PRESIDENT)
(816) 804-0202
Entity
Organization
Contact information
Practice address
319 SE MAIN ST, LEES SUMMIT, MO 64063-2333
(816) 524-7000
(816) 524-6993
Mailing address
319 SE MAIN ST, LEES SUMMIT, MO 64063-2333
(816) 524-7000
(816) 524-6993
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
MO
111NS0005X
Sports Physician Chiropractor
—
MO
171100000X
Acupuncturist
—
MO
Other
Enumeration date
01/26/2016
Last updated
01/27/2016
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