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THOMAS R WHITTY DC LLC NPI 1154616316


NPI Information

NPI: 1154616316
Provider Name: THOMAS R WHITTY DC LLC
Classification: Chiropractor - 111N00000X
Entity Type: Organization
Address:
702 OWENS DR
LEBANON, MO
ZIP 65536
Phone: (417) 532-5462
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THOMAS R WHITTY DC LLC is a chiropractor in Lebanon, MO. 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. THOMAS R WHITTY DC LLC NPI is 1154616316. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

702 OWENS DR
LEBANON, MO
ZIP 65536-501
Phone: (417) 532-5462
Fax: (417) 532-8595

The provider's authorized official is Susan M Whitty .
The authorized official title is Office Manager and has the following contact phone number (417) 532-5462.

The enumeration date for this NPI number is 6/16/2011 and was last updated on 6/16/2011.


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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1111N00000XChiropractorCE004316MISSOURIYes

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1000030784MEDICARE UPINMISSOURI
2752790204MEDICAIDMISSOURI

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: 5/5/2024

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