MEDICARE: MICHAEL EMERY 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	006699	MO

General Provider Information

NPI Number	:	1770771065
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MICHAEL EMERY D.C.

Provider Business Mailing Address
First Line	:	6316 NW BARRY RD
Second Line	:
City	:	KANSAS CITY
State	:	MO
Zip	:	64154-2531
Country	:	US
Telephone Number	:	816-505-1772
Fax Number	:	816-505-1599

Provider Business Practice Location Address
First Line	:	6316 NW BARRY RD
Second Line	:
City	:	KANSAS CITY
State	:	MO
Zip	:	64154-2531
Country	:	US
Telephone Number	:	816-505-1772
Fax Number	:	816-505-1599

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

Provider Enumeration Date	:	10/11/2007
Last Update Date	:	01/11/2008

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