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DECOURCY CHIROPRACTIC CLINIC PA NPI 1609070606


NPI Information

NPI: 1609070606
Provider Name: DECOURCY CHIROPRACTIC CLINIC PA
Classification: Chiropractor - 111N00000X
Entity Type: Organization
Address:
10425 MARTY ST
OVERLAND PARK, KS
ZIP 66061
Phone: (913) 383-3031
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DECOURCY CHIROPRACTIC CLINIC PA is a chiropractor in Overland Park, KS. The provider is a provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. DECOURCY CHIROPRACTIC CLINIC PA NPI is 1609070606. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

10425 MARTY ST
OVERLAND PARK, KS
ZIP 66061
Phone: (913) 383-3031
Fax: (913) 383-3041

The provider's authorized official is Martin St John Decourcy .
The authorized official title is Owner President and has the following contact phone number (913) 383-3031.

The enumeration date for this NPI number is 6/13/2007 and was last updated on 8/22/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1111N00000XChiropractor0103967KANSASYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
115338029OTHERBLUE CROSS BLUE SHIELD

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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