Organization
LIBERTY CHIROPRACTIC CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PHILLIP SHAYNE CHAPMAN D.C. (OWNER)
(816) 781-8810
Entity
Organization
Contact information
Practice address
257 W MILL ST, LIBERTY, MO 64068-2339
(816) 781-8810
(816) 781-3468
Mailing address
257 W MILL ST, LIBERTY, MO 64068-2339
(816) 781-8810
(816) 781-3468
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2004003314
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
T200000
MEDICARE GROUP NUMBER
MO
Enumeration date
04/04/2007
Last updated
07/17/2007
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