Provider Demographics
NPI:1154548733
Name:WASSON, DANNY ROSS (DC)
Entity type:Individual
Prefix:DR
First Name:DANNY
Middle Name:ROSS
Last Name:WASSON
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:7835 WORNALL ROAD
Mailing Address - Street 2:SUITE B
Mailing Address - City:KANSAS CITY
Mailing Address - State:MO
Mailing Address - Zip Code:64114-1856
Mailing Address - Country:US
Mailing Address - Phone:816-523-4411
Mailing Address - Fax:816-523-4411
Practice Address - Street 1:7835 WORNALL ROAD
Practice Address - Street 2:SUITE B
Practice Address - City:KANSAS CITY
Practice Address - State:MO
Practice Address - Zip Code:64114-1856
Practice Address - Country:US
Practice Address - Phone:816-523-4411
Practice Address - Fax:816-523-4411
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-18
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MO004555111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO08458011OtherBLUE CROSSBLUESHIELDKC
MO08458011OtherBLUE CROSSBLUESHIELDKC