MEDICARE: CHIROPRACTOR PLUS LLC

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	175F00000X	Naturopath
2	111N00000X	Chiropractor

General Provider Information

NPI Number	:	1982171674
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CHIROPRACTOR PLUS LLC

Provider Business Mailing Address
First Line	:	PO BOX 1768
Second Line	:
City	:	NIXA
State	:	MO
Zip	:	65714-1768
Country	:	US
Telephone Number	:	417-725-6655
Fax Number	:	417-725-7840

Provider Business Practice Location Address
First Line	:	1361 W MOUNT VERNON ST
Second Line	:
City	:	NIXA
State	:	MO
Zip	:	65714-7003
Country	:	US
Telephone Number	:	417-725-6655
Fax Number	:	417-725-6655

Authorized Official
Title or Position	:	OWNER
Name	:	DR. WILLIAM HUNTER GREENWOOD
Credential	:	DC
Telephone Number	:	417-725-6655

Provider Enumeration Date	:	10/31/2018
Last Update Date	:	09/28/2022

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Directions to “CHIROPRACTOR PLUS LLC ” Practice Location

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