Provider Demographics
NPI:1518058262
Name:HARDING, MICHAEL PAIGE (DC)
Entity Type:Individual
Prefix:DR
First Name:MICHAEL
Middle Name:PAIGE
Last Name:HARDING
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:PO BOX 141
Mailing Address - Street 2:
Mailing Address - City:PLATTE CITY
Mailing Address - State:MO
Mailing Address - Zip Code:64079
Mailing Address - Country:US
Mailing Address - Phone:816-858-2633
Mailing Address - Fax:816-431-2623
Practice Address - Street 1:14155 92 HWY
Practice Address - Street 2:
Practice Address - City:PLATTE CITY
Practice Address - State:MO
Practice Address - Zip Code:64079-8907
Practice Address - Country:US
Practice Address - Phone:816-858-2633
Practice Address - Fax:816-431-2623
Is Sole Proprietor?:No
Enumeration Date:2006-09-27
Last Update Date:2014-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO006443111N00000X
MO171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
No171100000XOther Service ProvidersAcupuncturist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO22774019OtherBLUE CROSS BLUE SHIELD
MOL619539Medicare UPIN
MOL610000Medicare PIN