MEDICARE: HARRY ERNEST BROWN D.C.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	111N00000X	Chiropractor	5599	MO

General Provider Information

NPI Number	:	1033211818
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	HARRY ERNEST BROWN D.C.

Provider Business Mailing Address
First Line	:	5538 OLIVE ST
Second Line	:
City	:	KANSAS CITY
State	:	MO
Zip	:	64130-3519
Country	:	US
Telephone Number	:	816-363-7769
Fax Number	:	816-363-7769

Provider Business Practice Location Address
First Line	:	5538 OLIVE ST
Second Line	:
City	:	KANSAS CITY
State	:	MO
Zip	:	64130-3519
Country	:	US
Telephone Number	:	816-363-7769
Fax Number	:	816-363-7769

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/02/2006
Last Update Date	:	07/08/2007

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