Provider Demographics
NPI:1336438480
Name:FORBES CHIROPRACTIC, PC
Entity Type:Organization
Organization Name:FORBES CHIROPRACTIC, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIROPRACTOR/PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JENNIFER
Authorized Official - Middle Name:LAVONNE
Authorized Official - Last Name:FORBES
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:816-255-3042
Mailing Address - Street 1:7504 NW KERNS DR
Mailing Address - Street 2:
Mailing Address - City:WEATHERBY LAKE
Mailing Address - State:MO
Mailing Address - Zip Code:64152-1745
Mailing Address - Country:US
Mailing Address - Phone:816-255-3042
Mailing Address - Fax:816-222-0886
Practice Address - Street 1:7504 NW KERNS DR
Practice Address - Street 2:
Practice Address - City:WEATHERBY LAKE
Practice Address - State:MO
Practice Address - Zip Code:64152-1745
Practice Address - Country:US
Practice Address - Phone:816-255-3042
Practice Address - Fax:816-222-0886
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-03-29
Last Update Date:2011-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2000148380111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Multi-Specialty