Provider Demographics
NPI:1003875584
Name:RICKMAN, STEVEN CHRISTOPHER (DC)
Entity Type:Individual
Prefix:DR
First Name:STEVEN
Middle Name:CHRISTOPHER
Last Name:RICKMAN
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:18931 E VALLEY VIEW PKWY
Mailing Address - Street 2:STE C
Mailing Address - City:INDEPENDENCE
Mailing Address - State:MO
Mailing Address - Zip Code:64055
Mailing Address - Country:US
Mailing Address - Phone:816-350-0020
Mailing Address - Fax:816-350-0040
Practice Address - Street 1:18931 E VALLEY VIEW PKWY
Practice Address - Street 2:STE C
Practice Address - City:INDEPENDENCE
Practice Address - State:MO
Practice Address - Zip Code:64055-7013
Practice Address - Country:US
Practice Address - Phone:816-350-0020
Practice Address - Fax:816-350-0040
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-03-22
Last Update Date:2017-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO006548111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
MOQ408112Medicare ID - Type Unspecified
MOU68361Medicare UPIN