Provider Demographics
NPI:1124227152
Name:JOSEPH R CONIGLIARO, DC
Entity Type:Organization
Organization Name:JOSEPH R CONIGLIARO, DC
Other - Org Name:KANSAS CITY HEALTH & WELLNESS, LLC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:CAROL
Authorized Official - Middle Name:M
Authorized Official - Last Name:ROBERTS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:913-339-6300
Mailing Address - Street 1:8500 W 110TH ST STE 230
Mailing Address - Street 2:
Mailing Address - City:OVERLAND PARK
Mailing Address - State:KS
Mailing Address - Zip Code:66210-1804
Mailing Address - Country:US
Mailing Address - Phone:913-339-6300
Mailing Address - Fax:913-339-6379
Practice Address - Street 1:8500 W 110TH ST STE 230
Practice Address - Street 2:
Practice Address - City:OVERLAND PARK
Practice Address - State:KS
Practice Address - Zip Code:66210-1804
Practice Address - Country:US
Practice Address - Phone:913-339-6300
Practice Address - Fax:913-339-6379
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-07-11
Last Update Date:2007-12-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS01-04718111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS34836018OtherBCBS GROUP #
KS34836018OtherBCBS GROUP #