Organization
LIBERTY PARK CHIROPRACTIC, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JASON A HUTCHISON D.C. (OWNER)
(816) 407-7200
Entity
Organization
Contact information
Practice address
1508 NE 96TH ST, SUITE B, LIBERTY, MO 64068-1348
(816) 407-7200
(816) 407-7222
Mailing address
1508 NE 96TH ST, SUITE B, LIBERTY, MO 64068-1348
(816) 407-7200
(816) 407-7222
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2006008609
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
40026012
BCBS
MO
Enumeration date
04/28/2008
Last updated
07/11/2016
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