1639875347 NPI number — CHIRO ONE WELLNESS CENTER OF BLUE SPRINGS LLC

Table of content: MS. HOPE MARIE FINN GILBERT M.AC.,LIC.AC. (NPI 1902023369)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1639875347 NPI number — CHIRO ONE WELLNESS CENTER OF BLUE SPRINGS LLC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
CHIRO ONE WELLNESS CENTER OF BLUE SPRINGS LLC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1639875347
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
09/12/2023
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
2625 BUTTERFIELD RD STE 301N
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
OAK BROOK
Provider Business Mailing Address State Name:
IL
Provider Business Mailing Address Postal Code:
60523-1266
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
630-468-1824
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1118 NE CORONADO DR
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
BLUE SPRINGS
Provider Business Practice Location Address State Name:
MO
Provider Business Practice Location Address Postal Code:
64014-2944
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
816-425-0888
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
02/03/2023

Additional Information

Authorized Official

Authorized Official Last Name:
BERNSEN
Authorized Official First Name:
STUART
Authorized Official Middle Name:
Authorized Official Title or Position:
CEO
Authorized Official Telephone Number:
630-229-4430

Provider Taxonomy Codes

  • Taxonomy code: 111N00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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