Ronald David Gabbart, D.C.
Individual provider Active NPI Chiropractor · Cameron, MO
NPI 1326085705 · NPPES record last updated Sep 18, 2007
Key facts
- NPI
- 1326085705
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Chiropractor 111N00000X
- License
- 2005029187 (MO)
- Practice address
- 611 S Chestnut St
Cameron, MO 64429-2323 - Phone
- (816) 288-1251
- Fax
- (707) 248-1251
- NPI assigned
- Jun 2, 2006
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2005029187 | MO | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Grimm Chiropractic PC | Chiropractor | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 2005029187 | MO | Yes |
Addresses
Primary practice location
611 S Chestnut St
Cameron, MO 64429-2323
Mailing address
611 S Chestnut St
Cameron, MO 64429-2323
Phone (816) 288-1251
Other providers in Cameron, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 18, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.