Provider Demographics
NPI:1508060286
Name:SALAS CHIROPRACTIC LLC
Entity Type:Organization
Organization Name:SALAS CHIROPRACTIC LLC
Other - Org Name:PAIN AND STRESS ELIMINATION CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CHIROPRACTIC PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:ALAIN
Authorized Official - Middle Name:P
Authorized Official - Last Name:SALAS
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:816-842-7246
Mailing Address - Street 1:405 E 19TH AVE
Mailing Address - Street 2:SUITE 205
Mailing Address - City:N 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:816-842-7246
Practice Address - Street 1:405 E 19TH AVE
Practice Address - Street 2:SUITE 205
Practice Address - City:N 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:816-842-7246
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-14
Last Update Date:2007-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO006550111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO0008180Medicare ID - Type UnspecifiedINDIVIDUAL MEDICARE #