Organization
ADVANCED CHIROPRACTIC HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THOMAS PATRICK MCNERNEY DC (PRESIDENT)
(816) 746-9045
Entity
Organization
Contact information
Practice address
1402 NW VIVION RD, KANSAS CITY, MO 64118-4555
(816) 746-9045
(816) 746-9032
Mailing address
1402 NW VIVION RD, KANSAS CITY, MO 64118-4555
(816) 746-9045
(816) 746-9032
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2000167943
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
09803014
BC BS GROUP NO.
MO
01
—
1386852127
TYPE 1 NPI
MO
01
—
18104711
MISSOURI STATE TAX ID
MO
01
—
2000167943
STATE LICENSE NO.
MO
01
—
29808015
BC BS INDIVIDUAL DR. NO.
MO
01
—
DE 870005
EMPLOYER NUMBER
MO
01
—
P00491248
MISSOURI CORPORATE NO.
MO
Enumeration date
06/26/2007
Last updated
08/22/2020
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