Healthcare Provider Details
I. General information
NPI: 1346597408
Provider Name (Legal Business Name): FMH HEALTH SOLUTIONS PC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 08/08/2012
Last Update Date: 08/08/2012
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
3611 MAIN ST SUITE 103
KANSAS CITY MO
64111-2321
US
IV. Provider business mailing address
3611 MAIN ST SUITE 103
KANSAS CITY MO
64111-2321
US
V. Phone/Fax
- Phone: 816-561-7035
- Fax: 816-960-3890
- Phone: 816-561-7035
- Fax: 816-960-3890
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 111N00000X |
| Taxonomy | Chiropractor |
| License Number | 2009034533 |
| License Number State | MO |
VIII. Authorized Official
Name:
FRANCES
HOLLEMBAEK
Title or Position: OWNER
Credential: DC
Phone: 816-561-7035