MEDICARE: FAMILY CARE CHIROPRACTIC, 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
1	111N00000X	Chiropractor

General Provider Information

NPI Number	:	1427179688
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FAMILY CARE CHIROPRACTIC, LLC

Provider Business Mailing Address
First Line	:	211 E BOND ST
Second Line	:
City	:	MONETT
State	:	MO
Zip	:	65708-2353
Country	:	US
Telephone Number	:	417-235-2235
Fax Number	:

Provider Business Practice Location Address
First Line	:	211 E BOND ST
Second Line	:
City	:	MONETT
State	:	MO
Zip	:	65708-2353
Country	:	US
Telephone Number	:	417-235-2235
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	DR. RAWN M BATSON
Credential	:	DC
Telephone Number	:	417-235-2235

Provider Enumeration Date	:	04/03/2007
Last Update Date	:	08/22/2020

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