Provider Demographics
NPI:1154402014
Name:ZAFER, WASSE (DC)
Entity type:Individual
Prefix:DR
First Name:WASSE
Middle Name:
Last Name:ZAFER
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 1:11902 BLUE RIDGE EXT
Mailing Address - Street 2:
Mailing Address - City:GRANDVIEW
Mailing Address - State:MO
Mailing Address - Zip Code:64030-1100
Mailing Address - Country:US
Mailing Address - Phone:816-808-9900
Mailing Address - Fax:
Practice Address - Street 1:11902 BLUE RIDGE EXT
Practice Address - Street 2:
Practice Address - City:GRANDVIEW
Practice Address - State:MO
Practice Address - Zip Code:64030-1100
Practice Address - Country:US
Practice Address - Phone:816-808-9900
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-18
Last Update Date:2016-11-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2015027609111NN0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NN0400XChiropractic ProvidersChiropractorNeurology
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS520675Medicaid
KS497480OtherBLUECROSS KS INDIVIDUAL
KS4408060OtherUNITED HEALTH CARE
KS18204014OtherBLUE CROSS KANSAS CITY
KS742825920OtherTAX ID
KS4472922OtherAETNA
KS497480OtherBLUECROSS KS INDIVIDUAL
KSC281736Medicare ID - Type UnspecifiedMEDICARE INDIVIDUAL