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NPI Code Detail

MEDICARE: DR. THERESA ANN FEBBO D.C.

MEDICARE:  DR. THERESA ANN FEBBO  D.C.
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
1111N00000XChiropractor005847MO

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
116971084OTHERMOBC/BS
210001164303OTHERMOCOMMUNITY HEALTH PLAN

General Provider Information

NPI Number : 1861574089
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. THERESA ANN FEBBO D.C.
Provider Business Mailing Address
First Line : 4901 NW 58TH ST
Second Line :
City : KANSAS CITY
State : MO
Zip : 64151-4634
Country : US
Telephone Number : 816-665-8838
Fax Number : 816-584-0149
Provider Business Practice Location Address
First Line : 6908 NW BARRY RD
Second Line :
City : KANSAS CITY
State : MO
Zip : 64153-1764
Country : US
Telephone Number : 816-665-8838
Fax Number : 816-584-0149
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/19/2006
Last Update Date : 07/08/2007

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