Provider Demographics
NPI:1164541280
Name:SALAS, ALAIN PHILIPPE (DC)
Entity Type:Individual
Prefix:DR
First Name:ALAIN
Middle Name:PHILIPPE
Last Name:SALAS
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 1:405 E 19TH AVE
Mailing Address - Street 2:SUITE 205
Mailing Address - City:NORTH KANSAS CITY
Mailing Address - State:MO
Mailing Address - Zip Code:64116-3650
Mailing Address - Country:US
Mailing Address - Phone:816-842-7246
Mailing Address - Fax:
Practice Address - Street 1:405 E 19TH AVE
Practice Address - Street 2:SUITE 205
Practice Address - City:NORTH KANSAS CITY
Practice Address - State:MO
Practice Address - Zip Code:64116-3650
Practice Address - Country:US
Practice Address - Phone:816-842-7246
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-28
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO006550111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO0008180Medicare ID - Type Unspecified