Organization
HANFT FAMILY CHIROPRACTIC, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JASON M HANFT D.C. (PRESIDENT)
(573) 875-4673
Entity
Organization
Contact information
Practice address
908 RAIN FOREST PARKWAY, SUITE B, COLUMBIA, MO 65202
(573) 875-4673
Mailing address
908 RAIN FOREST PARKWAY, SUITE B, COLUMBIA, MO 65202
(573) 875-4673
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2005035237
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000014921
MEDICARE GROUP
MO
01
—
259564921
MEDICARE PROVIDER NUMBER
MO
Enumeration date
09/19/2008
Last updated
09/19/2008
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