Provider Demographics
NPI:1427272046
Name:EMERY CHIROPRACTIC CLINIC PC
Entity type:Organization
Organization Name:EMERY CHIROPRACTIC CLINIC PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:RICHARD
Authorized Official - Middle Name:H
Authorized Official - Last Name:EMERY
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:816-587-7711
Mailing Address - Street 1:6537 N COSBY AVE
Mailing Address - Street 2:
Mailing Address - City:KANSAS CITY
Mailing Address - State:MO
Mailing Address - Zip Code:64151-2380
Mailing Address - Country:US
Mailing Address - Phone:816-587-7711
Mailing Address - Fax:816-587-3460
Practice Address - Street 1:6537 N COSBY AVE
Practice Address - Street 2:
Practice Address - City:KANSAS CITY
Practice Address - State:MO
Practice Address - Zip Code:64151-2380
Practice Address - Country:US
Practice Address - Phone:816-587-7711
Practice Address - Fax:816-587-3460
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-13
Last Update Date:2019-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MOCE00032373111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MOH420000Medicare PIN