MEDICARE: FORBES CHIROPRACTIC, PC

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	2000148380	MO

General Provider Information

NPI Number	:	1336438480
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FORBES CHIROPRACTIC, PC

Provider Business Mailing Address
First Line	:	7504 NW KERNS DR
Second Line	:
City	:	WEATHERBY LAKE
State	:	MO
Zip	:	64152-1745
Country	:	US
Telephone Number	:	816-255-3042
Fax Number	:	816-222-0886

Provider Business Practice Location Address
First Line	:	7504 NW KERNS DR
Second Line	:
City	:	WEATHERBY LAKE
State	:	MO
Zip	:	64152-1745
Country	:	US
Telephone Number	:	816-255-3042
Fax Number	:	816-222-0886

Authorized Official
Title or Position	:	CHIROPRACTOR/PRESIDENT
Name	:	JENNIFER LAVONNE FORBES
Credential	:	D.C
Telephone Number	:	816-255-3042

Provider Enumeration Date	:	03/29/2011
Last Update Date	:	03/29/2011

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