Individual
DR. CHRISTOPHER LEATHERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
412 AMES ST, BALDWIN CITY, KS 66006-3099
(785) 594-4894
(785) 594-2597
Mailing address
412 AMES ST, BALDWIN CITY, KS 66006-3099
(785) 594-4894
(785) 594-2597
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
0104834
KS
111N00000X
Chiropractor
2002020065
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
20-4236321
FEIN - INDIVIDUAL
—
01
—
26-0522906
FEIN - GROUP
—
01
—
33086038
BCBS
MO
Enumeration date
06/02/2006
Last updated
04/07/2023
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