Individual
DR. MATTHEW THOMAS GIANFORTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
22742 MIDLAND DR, SHAWNEE, KS 66226-3553
(913) 441-2293
Mailing address
22742 MIDLAND DR, SHAWNEE, KS 66226-3553
(913) 441-2293
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
01-04961
KS
111N00000X
Chiropractor
2005006923
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
KA2679004
MEDICARE PTAN
KS
Enumeration date
06/09/2005
Last updated
04/20/2021
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