| Ms Rae Lynne Holman, DC | |
|
3552 Sw Market St, Lees Summit, MO 64082-2327 | |
| (816) 988-0058 | |
| Not Available |
| Full Name | Ms Rae Lynne Holman |
|---|---|
| Gender | Female |
| Speciality | Chiropractor |
| Location | 3552 Sw Market St, Lees Summit, Missouri |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114422987 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | 01-05894 (Kansas) | Secondary |
| 111N00000X | Chiropractor | 2019006977 (Missouri) | Primary |
| Provider Name | Jordan's Chiropractic & Wellness Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1740808054 PECOS PAC ID: 7911397161 Enrollment ID: O20211202002624 |
| Mailing Address | Practice Location Address |
|---|---|
| Ms Rae Lynne Holman, DC 3552 Sw Market St, Lees Summit, MO 64082-2327 Ph: (816) 988-0058 | Ms Rae Lynne Holman, DC 3552 Sw Market St, Lees Summit, MO 64082-2327 Ph: (816) 988-0058 |
Nicole Marie Anna Dierking, D.C. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 1100 Se Century Dr, Ste D, Lees Summit, MO 64081 Phone: 636-253-0761 | |
Dr. Benjamin Hadley Chambers, D.C. Chiropractor Medicare: May Accept Medicare Assignments Practice Location: 229 Nw Blue Parkway, Suite C, Lees Summit, MO 64063 Phone: 913-221-2550 | |
Dr. William Hobson Thomas Jr., D.C. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 1805 Ne Whitestone Dr, Lees Summit, MO 64086 Phone: 816-210-4847 | |
Erica Roshell Simpson, D.C. Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 506 Se 291 Hwy, Unit I, Lees Summit, MO 64063 Phone: 816-694-7623 | |
Dr. Christopher Robert Jordan, DC Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 1254 Se Century Dr, Lees Summit, MO 64081 Phone: 816-988-0058 Fax: 816-988-3031 | |
Dr. Melissa Harrison, DC Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 1057 Ne Queens Cir, Lees Summit, MO 64064 Phone: 816-695-7176 | |
Dr. Charles Meyer Vifquain, D.C. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 319 Se Main St, Lees Summit, MO 64063 Phone: 816-524-7000 Fax: 816-524-6993 |