Healthcare Provider Details

I. General information

NPI: 1932414174
Provider Name (Legal Business Name): FOCUS ON HEALTH CHIROPRACTIC LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/12/2010
Last Update Date: 08/26/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4200 MERCHANT ST SUITE 101
COLUMBIA MO
65203-5816
US

IV. Provider business mailing address

4200 MERCHANT ST SUITE 101
COLUMBIA MO
65203-5816
US

V. Phone/Fax

Practice location:
  • Phone: 573-777-5900
  • Fax: 573-777-5901
Mailing address:
  • Phone: 573-777-5900
  • Fax: 573-777-5901

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code111NN1001X
TaxonomyNutrition Chiropractor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code111NR0400X
TaxonomyRehabilitation Chiropractor
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code111NS0005X
TaxonomySports Physician Chiropractor
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code171100000X
TaxonomyAcupuncturist
License Number
License Number State
# 5
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number
License Number State

VIII. Authorized Official

Name: DR. CURT MATTHEW KIPPENBERGER
Title or Position: DOCTOR
Credential: D.C.
Phone: 573-777-5900