MEDICARE: DR. HALIMA ALI FARAH 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	2009022406	MO

General Provider Information

NPI Number	:	1700017134
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. HALIMA ALI FARAH D.C.

Provider Business Mailing Address
First Line	:	3915 BECK RD
Second Line	:	SUITE A
City	:	SAINT JOSEPH
State	:	MO
Zip	:	64506-2458
Country	:	US
Telephone Number	:	816-676-9100
Fax Number	:	816-390-9777

Provider Business Practice Location Address
First Line	:	3915 BECK RD
Second Line	:	SUITE A
City	:	SAINT JOSEPH
State	:	MO
Zip	:	64506-2458
Country	:	US
Telephone Number	:	816-676-9100
Fax Number	:	816-390-9777

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

Provider Enumeration Date	:	08/03/2009
Last Update Date	:	08/03/2009

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