Provider Demographics
NPI:1972640621
Name:HAMBRICK, PAUL FRANKLIN III (DC)
Entity Type:Individual
Prefix:DR
First Name:PAUL
Middle Name:FRANKLIN
Last Name:HAMBRICK
Suffix:III
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:PO BOX 528
Mailing Address - Street 2:
Mailing Address - City:SEYMOUR
Mailing Address - State:MO
Mailing Address - Zip Code:65746-0528
Mailing Address - Country:US
Mailing Address - Phone:417-935-2471
Mailing Address - Fax:
Practice Address - Street 1:213 W WASHINGTON ST
Practice Address - Street 2:
Practice Address - City:SEYMOUR
Practice Address - State:MO
Practice Address - Zip Code:65746-7338
Practice Address - Country:US
Practice Address - Phone:417-935-2471
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-01-31
Last Update Date:2021-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH8591111N00000X
MO2008008293111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLU96908Medicare UPIN
FL89135AMedicare ID - Type UnspecifiedMEDICARE NUMBER