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NPI Code Detail

MEDICARE: DR. JOANN L HINNERICHS DC

MEDICARE: DR. JOANN L HINNERICHS DC
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
1111N00000XChiropractor005024MO

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
110568026OTHERBCBS

General Provider Information

NPI Number : 1568517571
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JOANN L HINNERICHS DC
Provider Business Mailing Address
First Line : 8105 WORNALL ROAD
Second Line :
City : KANSAS CITY
State : MO
Zip : 64114-5805
Country : US
Telephone Number : 816-361-8105
Fax Number :
Provider Business Practice Location Address
First Line : 8105 WORNALL ROAD
Second Line :
City : KANSAS CITY
State : MO
Zip : 64114-5805
Country : US
Telephone Number : 816-361-8105
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/23/2007
Last Update Date : 07/08/2007

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Directions to “ DR. JOANN L HINNERICHS DC” Practice Location

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