Healthcare Provider Details

I. General information

NPI: 1841964954
Provider Name (Legal Business Name): ARMOUR CHIROPRACTIC LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/03/2021
Last Update Date: 10/27/2022
Certification Date: 10/27/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

820 1/2 N PEARL ST
PAOLA KS
66071-1138
US

IV. Provider business mailing address

40579 HEDGE LN
FONTANA KS
66026-7648
US

V. Phone/Fax

Practice location:
  • Phone: 913-294-9993
  • Fax: 520-844-3635
Mailing address:
  • Phone: 913-259-0372
  • Fax: 520-844-3635

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number
License Number StateNULL

VIII. Authorized Official

Name: DR. CHARLES W ARMOUR III
Title or Position: OWNER
Credential: DC
Phone: 913-294-9993