Provider Demographics
NPI:1508165861
Name:RELIEF CHIROPRACTIC LLC
Entity Type:Organization
Organization Name:RELIEF CHIROPRACTIC LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:AMANDA
Authorized Official - Middle Name:
Authorized Official - Last Name:ENGELHARD
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:660-376-3331
Mailing Address - Street 1:127 S MAIN STREET USA
Mailing Address - Street 2:
Mailing Address - City:MARCELINE
Mailing Address - State:MO
Mailing Address - Zip Code:64658-1215
Mailing Address - Country:US
Mailing Address - Phone:660-376-3331
Mailing Address - Fax:
Practice Address - Street 1:127 S MAIN STREET USA
Practice Address - Street 2:
Practice Address - City:MARCELINE
Practice Address - State:MO
Practice Address - Zip Code:64658-1215
Practice Address - Country:US
Practice Address - Phone:660-376-3331
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-03-24
Last Update Date:2011-04-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2010040156261QH0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service