Nicole Marie Anna Dierking
Chiropractor
1100 Se Century Dr Ste D
Lees Summit
, Missouri 64081-3284
Nicole Marie Anna Dierking
Chiropractor
1100 Se Century Dr Ste D
Lees Summit
, Missouri 64081-3284
(636) 253-0761
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About
Features
Specialties
- Chiropractor
Languages spoken
- English
Location
First Address
- Nicole Marie Anna Dierking
- 1100 Se Century Dr Ste D
- Lees Summit, MO
- Zip : 64081-3284
- Phone : (636) 253-0761
Second Address
- Nicole Marie Anna Dierking
- 1100 Se Century Dr Ste D
- Lees Summit, MO
- Zip : 64081-3284
- Phone : (636) 253-0761
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What type of doctor is Nicole Marie Anna Dierking
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Is Nicole Marie Anna Dierking a sole practitioner?
Is Nicole Marie Anna Dierking accepting new patients?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 111N00000X | Chiropractor | 01-05379 | KS |
| Y | 111N00000X | Chiropractor | 2011000036 | MO |
National Provider Identifier
| NPI | 1003113226 |
|---|---|
| Provider Name | Nicole Marie Anna Dierking |
| First Address | Lees Summit, MO 64081-3284 |
| Second Address | Lees Summit, MO 64081-3284 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 24/02/2011 |
| Last Update Date | 12/09/2013 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.