Innate Way Family Chiropractic, LLC
Organization Active NPI Chiropractor · Hamilton, MO
NPI 1346735610 · NPPES record last updated Jun 28, 2018
Key facts
- NPI
- 1346735610
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Chiropractor 111N00000X
- License
- 2018015769 (MO)
- Legal business name
- INNATE WAY FAMILY CHIROPRACTIC, LLC
- Practice address
- 500 S Davis St Ste B
Hamilton, MO 64644-1434 - Phone
- (816) 583-2220
- NPI assigned
- Jun 28, 2018
- Organization subpart
- No
Authorized official
- Name
- Dr. Sarah Connelly, DC
- Title
- Authorized Official
- Phone
- (816) 583-2220
Practitioners 1
-
Sarah Margaret Connelly, D.C.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MO
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20181019001484 | MO | Part B Supplier - Clinic/Group Practice | 0648523704 |
Receives reassigned benefits from 1 practitioner Practice locations: Hamilton, MO |
National Provider Directory
Locations
500 S Davis St
Ste B
Hamilton, MO 64644
Phone (816) 583-2220
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor |
111N00000X | 2018015769 | MO | Yes |
Addresses
Primary practice location
500 S Davis St Ste B
Hamilton, MO 64644-1434
Mailing address
500 S Davis St Ste B
Hamilton, MO 64644-1434
Phone (816) 583-2220
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700376746 | Other | MO | INDIVIDUAL NPI |
Other providers in Hamilton, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 28, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.