Individual
MR. CARY LELAND BANEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
108 W 2ND ST, MONTGOMERY CITY, MO 63361-1813
(573) 564-3600
(573) 564-3600
Mailing address
108 W 2ND ST, MONTGOMERY CITY, MO 63361-1813
(573) 564-3600
(573) 564-3600
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2001012377
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
143494
BCBS OF MO
—
01
—
466683
HEALTHLINK
—
01
—
629911
UHC CHOICE PLUS
—
01
—
P00071242 DA7685
ALL
—
Enumeration date
08/11/2005
Last updated
12/05/2012
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