Provider Demographics
NPI:1689067167
Name:RAINTREE MEDICAL AND CHIROPRACTIC CENTER LLC
Entity Type:Organization
Organization Name:RAINTREE MEDICAL AND CHIROPRACTIC CENTER LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:BENJAMIN
Authorized Official - Middle Name:
Authorized Official - Last Name:FLUEGGE
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:816-623-3020
Mailing Address - Street 1:931 SW LEMANS LN
Mailing Address - Street 2:
Mailing Address - City:LEES SUMMIT
Mailing Address - State:MO
Mailing Address - Zip Code:64082-4619
Mailing Address - Country:US
Mailing Address - Phone:816-623-3020
Mailing Address - Fax:816-623-3076
Practice Address - Street 1:931 SW LEMANS LN
Practice Address - Street 2:
Practice Address - City:LEES SUMMIT
Practice Address - State:MO
Practice Address - Zip Code:64082-4619
Practice Address - Country:US
Practice Address - Phone:816-623-3020
Practice Address - Fax:816-623-3076
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-03-09
Last Update Date:2024-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral PracticeGroup - Multi-Specialty