Provider Demographics
NPI:1992893713
Name:ROGERS, JUNE M (DC)
Entity type:Individual
Prefix:DR
First Name:JUNE
Middle Name:M
Last Name:ROGERS
Suffix:
Gender:F
Credentials:DC
Other - Prefix:DR
Other - First Name:JUNE
Other - Middle Name:M
Other - Last Name:ROGERS
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DC
Mailing Address - Street 1:7000 NW PRAIRIE VIEW RD
Mailing Address - Street 2:SUITE 280
Mailing Address - City:KANSAS CITY
Mailing Address - State:MO
Mailing Address - Zip Code:64151-3807
Mailing Address - Country:US
Mailing Address - Phone:816-741-4040
Mailing Address - Fax:
Practice Address - Street 1:7000 NW PRAIRIE VIEW RD
Practice Address - Street 2:SUITE 280
Practice Address - City:KANSAS CITY
Practice Address - State:MO
Practice Address - Zip Code:64151-1020
Practice Address - Country:US
Practice Address - Phone:816-741-4040
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-10-10
Last Update Date:2012-11-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MOCE04911111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO11161-029OtherBCBS MO
MOMA2758001Medicare PIN