Organization
CHIROPRACTIC HEALTH CENTER LLC
Active
Other names
Chirpractic Health Center LC
Organization subpart
No
Provider details
NPI number
Authorized official
RODD ROGERS (MEMBER)
(417) 451-2240
Entity
Organization
Contact information
Practice address
1355 ROCKETDYNE RD, NEOSHO, MO 64850-3106
(417) 451-2240
Mailing address
1355 ROCKETDYNE RD, NEOSHO, MO 64850-3106
(417) 451-2240
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
005283
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DN7062
RR MEDICARE
MO
Enumeration date
05/02/2007
Last updated
11/26/2008
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