Provider Demographics
NPI:1376790303
Name:CHIROPRACTIC NOW P.C.
Entity Type:Organization
Organization Name:CHIROPRACTIC NOW P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIROPRACTOR/PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:KEVIN
Authorized Official - Middle Name:WILLIAM
Authorized Official - Last Name:MORFORD
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:816-795-6075
Mailing Address - Street 1:4041 NE LAKEWOOD WAY
Mailing Address - Street 2:BLDG 4, STE 180
Mailing Address - City:LEE'S SUMMIT
Mailing Address - State:MO
Mailing Address - Zip Code:64064-2063
Mailing Address - Country:US
Mailing Address - Phone:816-795-6075
Mailing Address - Fax:816-795-8404
Practice Address - Street 1:4041 NE LAKEWOOD WAY
Practice Address - Street 2:BLDG 4, STE 180
Practice Address - City:LEE'S SUMMIT
Practice Address - State:MO
Practice Address - Zip Code:64064-2063
Practice Address - Country:US
Practice Address - Phone:816-795-6075
Practice Address - Fax:816-795-8404
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-08-21
Last Update Date:2008-09-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2008005102111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO40255019OtherBLUE CROSS BLUE SHIELD