Provider Demographics
NPI:1558562678
Name:CURTIS CHIROPRACTIC HEALTH CENTER, INC
Entity Type:Organization
Organization Name:CURTIS CHIROPRACTIC HEALTH CENTER, INC
Other - Org Name:CURTIS & FICKLE CHIROPRACTIC HEALTH CENTER
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:LEE
Authorized Official - Last Name:CURTIS
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:816-468-8866
Mailing Address - Street 1:208 NE BARRY RD
Mailing Address - Street 2:
Mailing Address - City:KANSAS CITY
Mailing Address - State:MO
Mailing Address - Zip Code:64155-2722
Mailing Address - Country:US
Mailing Address - Phone:816-468-8866
Mailing Address - Fax:816-468-8973
Practice Address - Street 1:208 NE BARRY RD
Practice Address - Street 2:
Practice Address - City:KANSAS CITY
Practice Address - State:MO
Practice Address - Zip Code:64155-2722
Practice Address - Country:US
Practice Address - Phone:816-468-8866
Practice Address - Fax:816-468-8973
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-29
Last Update Date:2012-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO006399111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO22885011OtherBLUE CROSS BLUE SHIELD OF
MO707746OtherCOMMERCIAL IDENTIFIER
MO707746OtherCOMMERCIAL IDENTIFIER
MO22885011OtherBLUE CROSS BLUE SHIELD OF