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Contact Information

CORE HEALTH, LLC
19550 E 39TH ST S
SUITE 235
INDEPENDENCE, MO64057-2303
 Phone: 816-404-9120
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

General Practice

208D00000X 99 Physician/Undefined Physician type[6]
 

Chiropractor

111N00000X 35 Chiropractic
 

Preventive Medicine/Occupational-Environmental Medicine

2083P0500X 84 Physician/Preventive Medicine
Indicates primary specialty

NPI Profile & details for CORE HEALTH, LLC

NPI # 1689095895
LBN Legal business name CORE HEALTH, LLC
Authorized official JASON MOSS - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 12/16/2013
Last updated 04/11/2014 - About 12 years ago
Identifiers
MO License # 2007035558
MO License # 2010003837
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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