Provider Demographics
NPI:1518112002
Name:SHAREN KAUZLARICH DC, PC
Entity Type:Organization
Organization Name:SHAREN KAUZLARICH DC, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIROPRACTOR/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:SHAREN
Authorized Official - Middle Name:KAY
Authorized Official - Last Name:KAUZLARICH
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:816-809-3263
Mailing Address - Street 1:PO BOX 72
Mailing Address - Street 2:
Mailing Address - City:LEES SUMMIT
Mailing Address - State:MO
Mailing Address - Zip Code:64063-0072
Mailing Address - Country:US
Mailing Address - Phone:816-809-3269
Mailing Address - Fax:816-524-3262
Practice Address - Street 1:229 SW NOEL ST
Practice Address - Street 2:
Practice Address - City:LEES SUMMIT
Practice Address - State:MO
Practice Address - Zip Code:64063-2241
Practice Address - Country:US
Practice Address - Phone:816-809-3263
Practice Address - Fax:816-524-3262
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-11-25
Last Update Date:2008-11-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO006538320700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320700000XResidential Treatment FacilitiesResidential Treatment Facility, Physical Disabilities