MEDICARE: ROGERS CHIROPRACTIC, INC

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

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	43-1314499	OTHER	MO	TAX ID

General Provider Information

NPI Number	:	1912058470
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ROGERS CHIROPRACTIC, INC

Provider Business Mailing Address
First Line	:	8152 NW PRAIRIE VIEW RD
Second Line	:
City	:	KANSAS CITY
State	:	MO
Zip	:	64151-1020
Country	:	US
Telephone Number	:	816-741-4040
Fax Number	:

Provider Business Practice Location Address
First Line	:	8152 NW PRAIRIE VIEW RD
Second Line	:
City	:	KANSAS CITY
State	:	MO
Zip	:	64151-1020
Country	:	US
Telephone Number	:	816-741-4040
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. JUNE M ROGERS
Credential	:	DC
Telephone Number	:	816-741-4040

Provider Enumeration Date	:	01/12/2007
Last Update Date	:	10/26/2010

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