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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

NPI Number 1699918284
LBN Legal business name HEALTHCARE CENTER OF FUNCTIONAL MEDICINE, LLC
Authorized official TRAVIS KERSHNER - (CHIROPRACTOR)
Entity Organization
Organization subpart 1 No
Enumeration date 04/12/2009
Last updated 04/12/2009 - About 17 years ago
Identifiers
MO License # 2007037820
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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