| Timothy R Mcmullen Dc Pc | |
|
1508 Missouri Route A, Suite A, Liberty, MO 64068-7129 | |
| (816) 781-1010 | |
| (816) 415-8487 |
| Full Name | Timothy R Mcmullen Dc Pc |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 1508 Missouri Route A, Liberty, Missouri |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134298979 | NPI | - | NPPES |
| 7070138 | Other | MO | AETNA PROVIDER NUMBER |
| 25314026 | Other | MO | BCBS PROVIDER NUMBER |
| U70653 | Other | MO | HUMANA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | 006657 (Missouri) | Primary |
| Provider Name | Timothy R Mcmullen |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1558552216 PECOS PAC ID: 0244129807 Enrollment ID: I20040311001326 |
| Provider Name | Madison Strathman |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1801665112 PECOS PAC ID: 4284086380 Enrollment ID: I20240113000243 |
| Mailing Address | Practice Location Address |
|---|---|
| Timothy R Mcmullen Dc Pc 1508 Missouri Route A, Suite A, Liberty, MO 64068-7129 Ph: (816) 781-1010 | Timothy R Mcmullen Dc Pc 1508 Missouri Route A, Suite A, Liberty, MO 64068-7129 Ph: (816) 781-1010 |
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