Provider Demographics
NPI:1871657932
Name:HELSEL, SIVI N (DC)
Entity Type:Individual
Prefix:DR
First Name:SIVI
Middle Name:N
Last Name:HELSEL
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3915 BECK RD
Mailing Address - Street 2:SUITE A
Mailing Address - City:SAINT JOSEPH
Mailing Address - State:MO
Mailing Address - Zip Code:64506-4953
Mailing Address - Country:US
Mailing Address - Phone:816-676-9100
Mailing Address - Fax:
Practice Address - Street 1:3915 BECK RD
Practice Address - Street 2:SUITE A
Practice Address - City:SAINT JOSEPH
Practice Address - State:MO
Practice Address - Zip Code:64506-4953
Practice Address - Country:US
Practice Address - Phone:816-676-9100
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-12-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO006642111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO30954012OtherBCBSKC
MOQ880000Medicare ID - Type Unspecified