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Individual

LEONARD WAYNE BATEMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.C.

Contact information

Practice address
19501 E US HIGHWAY 40, SUITE B, INDEPENDENCE, MO 64055-5463
(816) 795-5000
(816) 795-5001
Mailing address
19501 E US HIGHWAY 40, SUITE B, INDEPENDENCE, MO 64055-5463
(816) 795-5000
(816) 795-5001

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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