Provider Demographics
NPI:1881182608
Name:OHMANN, ANDREA K (DC)
Entity Type:Individual
Prefix:
First Name:ANDREA
Middle Name:K
Last Name:OHMANN
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 1:19550 E 39TH ST S STE 235
Mailing Address - Street 2:
Mailing Address - City:INDEPENDENCE
Mailing Address - State:MO
Mailing Address - Zip Code:64057-2305
Mailing Address - Country:US
Mailing Address - Phone:816-800-8791
Mailing Address - Fax:816-795-5305
Practice Address - Street 1:6300 W PARKER RD STE G25
Practice Address - Street 2:
Practice Address - City:PLANO
Practice Address - State:TX
Practice Address - Zip Code:75093-8105
Practice Address - Country:US
Practice Address - Phone:816-916-0148
Practice Address - Fax:816-795-5305
Is Sole Proprietor?:No
Enumeration Date:2018-04-26
Last Update Date:2018-04-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXTBD111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor