Brookside Health Services, Inc.

LBN: Brookside Health Services, Inc.
Brookside Health Services, Inc. is an health care organization with primary practice located at 7337 Broadway St , Kansas City MO 64114-1357. The organization recently has 3 registered licenses in different health care specialties including Chiropractic Providers / Rehabilitation, Allopathic & Osteopathic Physicians / Occupational Medicine, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist. Allopathic & Osteopathic Physicians / Occupational Medicine is the primary health care specialty. Brookside Health Services, Inc. can be contacted via phone (816) 523-4600, or through Miller, Michael Kelly via phone (816) 523-4600.

Contact Information

Primary practice address
7337 Broadway St Kansas City MO 64114-1357
Phone: (816) 523-4600
Fax: (816) 523-4724
Website:
Map and Directions
Authorized official contact:
Name: Miller, Michael Kelly Doctor of Chiropractic (DC)
Phone: (816) 523-4600

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Rehabilitation 111NR0400X 004675 Missouri
Allopathic & Osteopathic Physicians / Occupational Medicine 2083X0100X R5D43 Missouri
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 2006023685 Missouri

Profile Details

NPI number 1801950589
LBN Legal business name Brookside Health Services, Inc.
DBA Doing business as
Authorized official Miller, Michael Kelly Doctor of Chiropractic (DC)
Entity Organization
Organization subpart 1 No
Enumeration date Dec 20th, 2006
Last updated Oct 26th, 2011 - about 13 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1801950589 NPPES
Missouri Other 4598983 AETNA GROUP NUMBER
Missouri Other 09455022 AETNA GROUP NUMBER
Missouri Other 1093892119 AETNA GROUP NUMBER
Missouri Other 1619088879 AETNA GROUP NUMBER
Missouri Other 12455029 AETNA GROUP NUMBER
Missouri Other 12973019 AETNA GROUP NUMBER
Missouri MEDICAID 756879607 AETNA GROUP NUMBER

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