MEDICARE: DR. JOHN H AMICK D.O.

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	207Q00000X	Family Medicine Physician	36537	MO

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1437128402
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JOHN H AMICK D.O.

Provider Business Mailing Address
First Line	:	PO BOX 381
Second Line	:
City	:	LIBERTY
State	:	MO
Zip	:	64069-0381
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1133 W KANSAS ST
Second Line	:
City	:	LIBERTY
State	:	MO
Zip	:	64068-2281
Country	:	US
Telephone Number	:	816-781-7400
Fax Number	:	816-781-3315

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

Provider Enumeration Date	:	03/14/2006
Last Update Date	:	05/10/2019

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Directions to “ DR. JOHN H AMICK D.O.” Practice Location

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