Provider Demographics
NPI:1679338867
Name:ROSAS, DAVID NMN (DC)
Entity Type:Individual
Prefix:
First Name:DAVID
Middle Name:NMN
Last Name:ROSAS
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 1:11439 CHESTNUT AVE APT 606
Mailing Address - Street 2:
Mailing Address - City:KANSAS CITY
Mailing Address - State:MO
Mailing Address - Zip Code:64137-3218
Mailing Address - Country:US
Mailing Address - Phone:402-326-8233
Mailing Address - Fax:
Practice Address - Street 1:10841 W 87TH ST STE 200
Practice Address - Street 2:
Practice Address - City:OVERLAND PARK
Practice Address - State:KS
Practice Address - Zip Code:66214-1660
Practice Address - Country:US
Practice Address - Phone:913-353-3377
Practice Address - Fax:913-353-3401
Is Sole Proprietor?:No
Enumeration Date:2024-02-16
Last Update Date:2024-02-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS01-06311111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor