Provider Demographics
NPI:1487293734
Name:JOURNEY CHIROPRACTIC LLC
Entity type:Organization
Organization Name:JOURNEY CHIROPRACTIC LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIROPRACTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:JESSICA
Authorized Official - Middle Name:
Authorized Official - Last Name:LANGEL
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:712-541-9370
Mailing Address - Street 1:12617 CHARLOTTE ST
Mailing Address - Street 2:
Mailing Address - City:KANSAS CITY
Mailing Address - State:MO
Mailing Address - Zip Code:64146-1300
Mailing Address - Country:US
Mailing Address - Phone:712-541-9370
Mailing Address - Fax:
Practice Address - Street 1:7418 W 121ST ST
Practice Address - Street 2:
Practice Address - City:OVERLAND PARK
Practice Address - State:KS
Practice Address - Zip Code:66213-1203
Practice Address - Country:US
Practice Address - Phone:913-599-9231
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-01-04
Last Update Date:2020-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty