Organization
CARY BANEY
Active
Other names
County Chiropractic
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CARY BANEY D.C. (OWNER)
(573) 564-3600
Entity
Organization
Contact information
Practice address
108 W 2ND ST, MONTGOMERY CITY, MO 63361-1813
(573) 564-3600
(573) 564-3600
Mailing address
108 W 2ND ST, MONTGOMERY CITY, MO 63361-1813
(573) 564-3600
(573) 564-3600
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2001012377
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
143494
BLUE CROSS MISSOUR
MO
01
—
1497757280
INDIVIDUAL NPI #
MO
01
—
466683
HEALTHLINK
MO
01
—
629911
ACN
MO
Enumeration date
07/12/2007
Last updated
12/05/2012
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