Provider Demographics
NPI:1295905123
Name:MCFADDEN, SHARLA FAYE GEORGE (DC)
Entity type:Individual
Prefix:DR
First Name:SHARLA FAYE
Middle Name:GEORGE
Last Name:MCFADDEN
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1317
Mailing Address - Street 2:
Mailing Address - City:LIBERTY
Mailing Address - State:MO
Mailing Address - Zip Code:64069-1317
Mailing Address - Country:US
Mailing Address - Phone:816-536-3199
Mailing Address - Fax:816-817-3670
Practice Address - Street 1:307 E US HIGHWAY 69
Practice Address - Street 2:
Practice Address - City:KANSAS CITY
Practice Address - State:MO
Practice Address - Zip Code:64119-3116
Practice Address - Country:US
Practice Address - Phone:816-536-3199
Practice Address - Fax:816-817-3670
Is Sole Proprietor?:No
Enumeration Date:2008-03-06
Last Update Date:2022-11-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2007003491171100000X, 111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
No171100000XOther Service ProvidersAcupuncturist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MOMA3468Medicare PIN