Healthcare Provider Details

I. General information

NPI: 1891613030
Provider Name (Legal Business Name): SOFIA BARONIO DC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/07/2026
Last Update Date: 07/07/2026
Certification Date: 07/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

19501 E US HIGHWAY 40 STE B
INDEPENDENCE MO
64055-5475
US

IV. Provider business mailing address

19501 E US HIGHWAY 40 STE B
INDEPENDENCE MO
64055-5475
US

V. Phone/Fax

Practice location:
  • Phone: 816-795-5000
  • Fax: 816-795-5001
Mailing address:
  • Phone: 816-795-5000
  • Fax: 816-795-5001

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number2026029498
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: