Individual
JAMES DICKEY SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
1802 N WOODBINE RD, ST JOSEPH, MO 64506
(816) 232-5113
(816) 232-0453
Mailing address
1802 N WOODBINE RD, PO BOX 6423, ST JOSEPH, MO 64506
(816) 232-5113
(816) 232-0453
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
006432
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10001164203
COMMUNITY HEALTH PLAN
MO
05
—
75385310
—
MO
01
—
P00120973
RR MEDICARE
MO
Enumeration date
07/07/2006
Last updated
07/08/2007
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