Healthcare Provider Details

I. General information

NPI: 1972640621
Provider Name (Legal Business Name): PAUL FRANKLIN HAMBRICK III D.C.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/31/2007
Last Update Date: 10/05/2021
Certification Date: 10/05/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

213 W WASHINGTON ST
SEYMOUR MO
65746-7338
US

IV. Provider business mailing address

PO BOX 528
SEYMOUR MO
65746-0528
US

V. Phone/Fax

Practice location:
  • Phone: 417-935-2471
  • Fax:
Mailing address:
  • Phone: 417-935-2471
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code111N00000X
TaxonomyChiropractor
License NumberCH8591
License Number StateFL
# 2
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number2008008293
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: