MEDICARE: DR. JUNE M ROGERS DC

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	CE04911	MO

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	11161-029	OTHER	MO	BCBS MO

General Provider Information

NPI Number	:	1992893713
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JUNE M ROGERS DC

Provider Business Mailing Address
First Line	:	7000 NW PRAIRIE VIEW RD
Second Line	:	SUITE 280
City	:	KANSAS CITY
State	:	MO
Zip	:	64151-3807
Country	:	US
Telephone Number	:	816-741-4040
Fax Number	:

Provider Business Practice Location Address
First Line	:	7000 NW PRAIRIE VIEW RD
Second Line	:	SUITE 280
City	:	KANSAS CITY
State	:	MO
Zip	:	64151-1020
Country	:	US
Telephone Number	:	816-741-4040
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/10/2006
Last Update Date	:	11/07/2012

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