MITCHELL WADE SUTTER (NPI# 1871133272) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1871133272 |
Entity Type | Individual |
Full Name | MITCHELL WADE SUTTER |
Credential | DC |
Practice Address |
156 County Road 313 Taylor MO 63471-2056 |
Practice Telephone | 2174304476 |
Mailing Telephone | 2174304476 |
Enumeration Date | 2020-01-14 |
Last Update Date | 2020-08-19 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 111N00000X | Chiropractor | 2020015015 | MO | Chiropractic Providers |
N | 111N00000X | Chiropractor | 038.013497 | IL | Chiropractic Providers |
Address | Telephone Number | Fax Number |
---|---|---|
926 Broadway St Ste 4, Quincy, IL 623012730 | 2174304476 |
Street Address |
156 COUNTY ROAD 313 |
City | TAYLOR |
State | MO |
Zip Code | 63471-2056 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1851991640 | Crystal Lee Stewart | Counselor | 20500 Eureka Rd Ste 200, Taylor, MI 48180-6394 | 2020-10-29 |
1316546377 | Pamela Hubbard Greenwood | Home Health Aide | 2806 Don Hill Ln, Taylor, TX 76574-5341 | 2020-10-21 |
1316545155 | Bj's Wholesale Club Inc. | Eyewear Supplier (Equipment, not the service) | 15523 Racho Blvd, Taylor, MI 48180-5213 | 2020-10-14 |
1619574118 | Gada Santos | Specialist | 10786 Pine St, Taylor, MI 48180-3440 | 2020-10-07 |
1811502016 | Rebecca Colleen Reilly | Physical Therapist | 11780 Telegraph Rd Ste 120, Taylor, MI 48180-6862 | 2020-09-14 |
1699388975 | Bloom Wellness Counseling, LLC | Social Worker | 24892 Goddard Rd, Taylor, MI 48180-3931 | 2020-08-26 |
1770194607 | Restorative Rehabilitation Inc | Clinic/Center | 9228 Pelham Rd, Taylor, MI 48180-3832 | 2020-08-13 |
1396362885 | Merris Maples | Physician Assistant | 25239 Madden St, Taylor, MI 48180-3278 | 2020-06-30 |
1396360343 | Andrea Atwell | Social Worker | 6037 Mayfair St, Taylor, MI 48180-1360 | 2020-06-15 |
1043839020 | Soma Aqeel Mirza | Pharmacist | 15549 Dupage Blvd, Taylor, MI 48180-6024 | 2020-04-10 |
Find all providers in TAYLOR |
Taxonomy Code | 111N00000X |
Grouping | Chiropractic Providers |
Classification | Chiropractor |
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1629424288 | C1c2 Pllc | Chiropractor | 1426 N Main St, Taylor, TX 76574-3032 | 2016-05-12 |
1710321005 | David Alan Nester | Chiropractor | 6617 Pine St, Taylor, MI 48180-1730 | 2013-04-17 |
1164680054 | Weber Chiropractic, Inc. | Chiropractor | 602 W 2nd St, Taylor, TX 76574-2824 | 2008-05-28 |
1770614190 | Paul J. Ovares | Chiropractor | 10060 Pelham Rd, Taylor, MI 48180-3831 | 2007-03-08 |
1619008232 | Joseph Michael Gnall | Chiropractor | 203 Davis St, Taylor, PA 18517-1911 | 2007-03-07 |
1316097876 | Jennifer Leslie Simpson | Chiropractor | 10424 Pelham Rd, Taylor, MI 48180 | 2007-01-10 |
1306912084 | Quest Health Systems Ix, Pllc | Chiropractor | 23540 Goddard Rd, Taylor, MI 48180-4115 | 2006-11-27 |
1376613679 | Paul Anthony Burow | Chiropractor | 612 North Main Street, Taylor, TX 76574 | 2006-11-08 |
1619057445 | Cass Jaye Bader | Chiropractor | 20700 Ecorse Road, Taylor, MI 48180-1962 | 2006-10-16 |
1487767943 | Total Body Chiropractic PC | Chiropractor | 125 N. Main St, Taylor, PA 18517 | 2006-08-17 |
Find all providers in TAYLOR |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.