Provider Demographics
NPI:1851405575
Name:AGOCS, STEVE E (DC)
Entity Type:Individual
Prefix:DR
First Name:STEVE
Middle Name:E
Last Name:AGOCS
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:CLEVELAND CHIROPRACTIC COLLEGE
Mailing Address - Street 2:10850 LOWELL AVE.
Mailing Address - City:OVERLAND PARK
Mailing Address - State:KS
Mailing Address - Zip Code:66210
Mailing Address - Country:US
Mailing Address - Phone:913-234-0836
Mailing Address - Fax:
Practice Address - Street 1:CLEVELAND CHIROPRACTIC COLLEGE
Practice Address - Street 2:10850 LOWELL AVE.
Practice Address - City:OVERLAND PARK
Practice Address - State:KS
Practice Address - Zip Code:66210
Practice Address - Country:US
Practice Address - Phone:913-234-0836
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-19
Last Update Date:2015-06-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2007004026111N00000X
KS01-05130111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
MION31040Medicare ID - Type UnspecifiedMEDICARE PROVIDER NUMBER