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NPI Code Detail

MEDICARE: ELEVATE LIFE CHIROPRACTIC AND WELLNESS LLC

MEDICARE: ELEVATE LIFE CHIROPRACTIC AND WELLNESS LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1111N00000XChiropractor2015040833MO

General Provider Information

NPI Number : 1396105458
Entity Type Code : Organization
Provider Name (Legal Business Name) : ELEVATE LIFE CHIROPRACTIC AND WELLNESS LLC
Provider Business Mailing Address
First Line : 9237 N OAK TRFY
Second Line :
City : KANSAS CITY
State : MO
Zip : 64155-3392
Country : US
Telephone Number : 816-321-1620
Fax Number : 816-321-1566
Provider Business Practice Location Address
First Line : 9237 N OAK TRFY
Second Line :
City : KANSAS CITY
State : MO
Zip : 64155-3392
Country : US
Telephone Number : 816-321-1620
Fax Number : 816-321-1566
Authorized Official
Title or Position : OWNER/CHIROPRACTOR
Name : PAUL HOYAL
Credential : D.C.
Telephone Number : 816-321-1620
Provider Enumeration Date : 03/02/2016
Last Update Date : 03/02/2016

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Directions to “ELEVATE LIFE CHIROPRACTIC AND WELLNESS LLC ” Practice Location

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