Provider Demographics
NPI:1023359114
Name:B-IN MOTION CHIROPRACTIC, INC
Entity Type:Organization
Organization Name:B-IN MOTION CHIROPRACTIC, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DOCTOR OF CHIROPRACTIC
Authorized Official - Prefix:DR
Authorized Official - First Name:SUSAN
Authorized Official - Middle Name:LEA
Authorized Official - Last Name:ROECKER
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:816-383-1225
Mailing Address - Street 1:13981 COUNTY ROAD 191
Mailing Address - Street 2:
Mailing Address - City:SAVANNAH
Mailing Address - State:MO
Mailing Address - Zip Code:64485
Mailing Address - Country:US
Mailing Address - Phone:816-383-1225
Mailing Address - Fax:
Practice Address - Street 1:2202 LOCUST
Practice Address - Street 2:
Practice Address - City:ST JOSEPH
Practice Address - State:MO
Practice Address - Zip Code:64501
Practice Address - Country:US
Practice Address - Phone:816-383-1225
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-03-14
Last Update Date:2013-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO201201392111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty