MEDICARE: FOCUS ON HEALTH CHIROPRACTIC LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	111NN1001X	Nutrition Chiropractor
2	111NR0400X	Rehabilitation Chiropractor
3	111NS0005X	Sports Physician Chiropractor
4	171100000X	Acupuncturist
5	111N00000X	Chiropractor

General Provider Information

NPI Number	:	1932414174
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FOCUS ON HEALTH CHIROPRACTIC LLC

Provider Business Mailing Address
First Line	:	4200 MERCHANT ST
Second Line	:	SUITE 101
City	:	COLUMBIA
State	:	MO
Zip	:	65203-5816
Country	:	US
Telephone Number	:	573-777-5900
Fax Number	:	573-777-5901

Provider Business Practice Location Address
First Line	:	4200 MERCHANT ST
Second Line	:	SUITE 101
City	:	COLUMBIA
State	:	MO
Zip	:	65203-5816
Country	:	US
Telephone Number	:	573-777-5900
Fax Number	:	573-777-5901

Authorized Official
Title or Position	:	DOCTOR
Name	:	DR. CURT MATTHEW KIPPENBERGER
Credential	:	D.C.
Telephone Number	:	573-777-5900

Provider Enumeration Date	:	08/12/2010
Last Update Date	:	08/26/2010

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