Organization
LIONSGATE CHIROPRACTIC CENTER FOR WELLNESS PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THOMAS FORBACH D.C. (PRESIDENT)
(913) 814-9494
Entity
Organization
Contact information
Practice address
14201 METCALF AVE, OVERLAND PARK, KS 66223-3367
(913) 814-9494
Mailing address
14201 METCALF AVE, OVERLAND PARK, KS 66223-3367
(913) 814-9494
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
01-03367
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
33941015
BLUE CROSS BLUE SHIELD
MO
Enumeration date
03/23/2010
Last updated
03/23/2010
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