Organization
GRIMM CHIROPRACTIC PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT GRIMM DC (PRESIDENT)
(816) 238-1200
Entity
Organization
Contact information
Practice address
5505 LAKE AVE, SAINT JOSEPH, MO 64504-1440
(816) 238-1200
(816) 238-4900
Mailing address
5505 LAKE AVE, SAINT JOSEPH, MO 64504-1440
(816) 238-1200
(816) 238-4900
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
006222
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
20645028
BCBSKC
MO
05
—
757656400
—
MO
Enumeration date
12/20/2006
Last updated
09/18/2007
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