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Contact Information

HEALTHCARE CENTER OF FUNCTIONAL MEDICINE, LLC
101 N LYONS ST
BUTLER, MO64730-2131
 Phone: 660-679-4423
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Internist

111NI0900X 35 Chiropractic
Indicates primary specialty

NPI Profile & details for HEALTHCARE CENTER OF FUNCTIONAL MEDICINE LLC · (Female)

NPI # 1699918284
Status Active
Credentials
Entity Individual
Enumeration date 04/12/2009
Last updated 04/12/2009 - About 17 years ago
Sole proprietor 1 Not specified
Identifiers
  • MO License # 2007037820
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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