Healthcare Provider Details

I. General information

NPI: 1477976488
Provider Name (Legal Business Name): FERRIS BUHLER D.C.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/27/2014
Last Update Date: 01/27/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7211 NW 83RD ST STE. 230
KANSAS CITY MO
64152-6022
US

IV. Provider business mailing address

7211 NW 83RD ST STE. 230
KANSAS CITY MO
64152-6022
US

V. Phone/Fax

Practice location:
  • Phone: 816-587-4325
  • Fax: 816-587-4337
Mailing address:
  • Phone: 816-587-4325
  • Fax: 816-587-4337

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number2013044780
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: