Individual
MR. DAVID A BLACK
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
2001002825
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
29405015
BLUE CROSS BLUE SHIELD KC
MO
01
—
4400406
UNITED HEALTHCARE
MO
01
—
7782255
AETNA
MO
01
—
83468
COVENTRY
MO
Enumeration date
08/13/2006
Last updated
07/08/2007
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