Justin Shawn Bashor, D.C
Individual provider Active NPI Chiropractor · Belton, MO
NPI 1730451675 · NPPES record last updated Feb 8, 2012
Key facts
- NPI
- 1730451675
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Chiropractor 111N00000X
- License
- 2012003540 (MO)
- Practice address
- 117 Bradford LN
Belton, MO 64012-2086 - Phone
- (816) 322-4900
- Fax
- (816) 322-4902
- NPI assigned
- Feb 8, 2012
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 2012003540 | MO | Yes |
Addresses
Primary practice location
117 Bradford LN
Belton, MO 64012-2086
Mailing address
117 Bradford LN
Belton, MO 64012-2086
Phone (816) 322-4900
Other providers in Belton, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 8, 2012. 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.