Provider Demographics
NPI:1740486117
Name:UHL, NATHANIEL L (DC)
Entity type:Individual
Prefix:DR
First Name:NATHANIEL
Middle Name:L
Last Name:UHL
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:NATHAN
Other - Middle Name:L
Other - Last Name:UHL
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:DC
Mailing Address - Street 1:823 NW COMMERCE DR
Mailing Address - Street 2:
Mailing Address - City:LEES SUMMIT
Mailing Address - State:MO
Mailing Address - Zip Code:64086-9381
Mailing Address - Country:US
Mailing Address - Phone:816-616-5188
Mailing Address - Fax:816-444-8020
Practice Address - Street 1:823 NW COMMERCE DR
Practice Address - Street 2:
Practice Address - City:LEES SUMMIT
Practice Address - State:MO
Practice Address - Zip Code:64086-9381
Practice Address - Country:US
Practice Address - Phone:816-616-5188
Practice Address - Fax:816-444-8020
Is Sole Proprietor?:No
Enumeration Date:2007-06-22
Last Update Date:2015-05-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2004027941111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
MOV02299Medicare UPIN