Healthcare Provider Details

I. General information

NPI: 1841653516
Provider Name (Legal Business Name): WASSE ZAFER DC, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/31/2016
Last Update Date: 03/31/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11902 BLUE RIDGE EXT
GRANDVIEW MO
64030-1100
US

IV. Provider business mailing address

12734 FLINT LN
OVERLAND PARK KS
66213-4443
US

V. Phone/Fax

Practice location:
  • Phone: 913-558-1918
  • Fax:
Mailing address:
  • Phone: 913-558-1918
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111NN0400X
TaxonomyNeurology Chiropractor
License Number
License Number State

VIII. Authorized Official

Name: DR. WASSE ZAFER
Title or Position: OWNER
Credential: D.C.
Phone: 913-558-1918