Ash Chiropractic LLC
Organization Active NPI Chiropractor · Saint Joseph, MO
NPI 1972009884 · NPPES record last updated Apr 1, 2018
Key facts
- NPI
- 1972009884
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Chiropractor 111N00000X
- License
- 2018010688 (MO)
- Legal business name
- ASH CHIROPRACTIC LLC
- Practice address
- 3120 Karnes Rd Ste B
Saint Joseph, MO 64506-4324 - Phone
- (816) 273-5104
- NPI assigned
- Apr 1, 2018
- Organization subpart
- No
Authorized official
- Name
- Dr. Andrew Haeker, DC
- Title
- Owner
- Phone
- (816) 752-4604
Practitioners 1
-
Andrew Haeker, DC
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MO
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20180803000125 | MO | Part B Supplier - Clinic/Group Practice | 9537417787 |
Receives reassigned benefits from 1 practitioner Practice locations: Saint Joseph, MO |
National Provider Directory
Locations
3120 Karnes Rd
Ste B
Saint Joseph, MO 64506
Phone (816) 273-5104
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor |
111N00000X | 2018010688 | MO | Yes |
Addresses
Primary practice location
3120 Karnes Rd Ste B
Saint Joseph, MO 64506-4324
Mailing address
3120 Karnes Rd Ste B
Saint Joseph, MO 64506-4324
Phone (816) 273-5104
Other providers in Saint Joseph, MO
- Apria Healthcare LLC
- Elizabeth Marie Arbuckle
- Marie Gene Arnold
- Sarah E Arnold
- Andre Joel Arsenault
- Kaitlin Merete Ash
- Crystal Lyn Ashburn
- Mahaletwork Assefa
- Whitney B Atha
- Adriana Athon
All providers in Saint Joseph, MO · Chiropractor in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 1, 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.