Provider Demographics
NPI:1336237189
Name:SYMES, JOSEPH WESLEY (DC)
Entity Type:Individual
Prefix:DR
First Name:JOSEPH
Middle Name:WESLEY
Last Name:SYMES
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 1:400 SW LONGVIEW BLVD
Mailing Address - Street 2:SUITE 160
Mailing Address - City:LEES SUMMIT
Mailing Address - State:MO
Mailing Address - Zip Code:64081-2102
Mailing Address - Country:US
Mailing Address - Phone:816-761-3944
Mailing Address - Fax:
Practice Address - Street 1:400 SW LONGVIEW BLVD
Practice Address - Street 2:SUITE 160
Practice Address - City:LEES SUMMIT
Practice Address - State:MO
Practice Address - Zip Code:64081-2102
Practice Address - Country:US
Practice Address - Phone:816-761-3944
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-10-10
Last Update Date:2014-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2007016856111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
MOP37357025OtherBLUE CROSS BLUE SHIELD OF KANSAS CITY
MOMA1022Medicare PIN