Provider Demographics
NPI:1013037597
Name:BATEMAN GATROST CHIRO PC
Entity Type:Organization
Organization Name:BATEMAN GATROST CHIRO PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT CHIROPRACTIC PHYSICIAN
Authorized Official - Prefix:MR
Authorized Official - First Name:LEONARD
Authorized Official - Middle Name:WAYNE
Authorized Official - Last Name:BATEMAN
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:816-795-5000
Mailing Address - Street 1:19501 E US HIGHWAY 40
Mailing Address - Street 2:SUITE B
Mailing Address - City:INDEPENDENCE
Mailing Address - State:MO
Mailing Address - Zip Code:64055-5463
Mailing Address - Country:US
Mailing Address - Phone:816-795-5000
Mailing Address - Fax:816-795-5001
Practice Address - Street 1:19501 E US HIGHWAY 40
Practice Address - Street 2:SUITE B
Practice Address - City:INDEPENDENCE
Practice Address - State:MO
Practice Address - Zip Code:64055-5463
Practice Address - Country:US
Practice Address - Phone:816-795-5000
Practice Address - Fax:816-795-5001
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-30
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO=========OtherFEDERAL TAX ID