Provider Demographics
NPI:1902029283
Name:CROWE FAMILY CHIROPRACTIC
Entity Type:Organization
Organization Name:CROWE FAMILY CHIROPRACTIC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:AMY
Authorized Official - Middle Name:M
Authorized Official - Last Name:CROWE
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:816-931-4646
Mailing Address - Street 1:4301 MAIN ST
Mailing Address - Street 2:SUITE 7
Mailing Address - City:KANSAS CITY
Mailing Address - State:MO
Mailing Address - Zip Code:64111-7701
Mailing Address - Country:US
Mailing Address - Phone:816-931-4646
Mailing Address - Fax:
Practice Address - Street 1:4301 MAIN ST
Practice Address - Street 2:SUITE 7
Practice Address - City:KANSAS CITY
Practice Address - State:MO
Practice Address - Zip Code:64111-7701
Practice Address - Country:US
Practice Address - Phone:816-931-4646
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-11
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2006002500111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty