Provider Demographics
NPI:1285762997
Name:SATTERWHITE, RAYMOND VINCENT (DC DABCI)
Entity type:Individual
Prefix:
First Name:RAYMOND
Middle Name:VINCENT
Last Name:SATTERWHITE
Suffix:
Gender:M
Credentials:DC DABCI
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5008 NE 45TH TERRACE
Mailing Address - Street 2:
Mailing Address - City:KANSAS CITY
Mailing Address - State:MO
Mailing Address - Zip Code:64117
Mailing Address - Country:US
Mailing Address - Phone:816-452-1129
Mailing Address - Fax:816-452-5120
Practice Address - Street 1:5008 NE 45TH TER
Practice Address - Street 2:
Practice Address - City:KANSAS CITY
Practice Address - State:MO
Practice Address - Zip Code:64117-1944
Practice Address - Country:US
Practice Address - Phone:816-452-1129
Practice Address - Fax:816-452-5120
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO006477111NI0900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NI0900XChiropractic ProvidersChiropractorInternist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO24483010OtherBLUE CROSS BLUE SHIELD
MO006477OtherCHIROPRATIC STATE NUMBER
MO5302462OtherAETNA
MO5302462OtherAETNA
MO006477OtherCHIROPRATIC STATE NUMBER