Provider Demographics
NPI:1487893558
Name:BILLINGS, LANDON RUSH (DC)
Entity type:Individual
Prefix:DR
First Name:LANDON
Middle Name:RUSH
Last Name:BILLINGS
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 69
Mailing Address - Street 2:
Mailing Address - City:SEYMOUR
Mailing Address - State:MO
Mailing Address - Zip Code:65746-0069
Mailing Address - Country:US
Mailing Address - Phone:417-935-2976
Mailing Address - Fax:
Practice Address - Street 1:210 S. MAIN ST.
Practice Address - Street 2:
Practice Address - City:SEYMOUR
Practice Address - State:MO
Practice Address - Zip Code:65746
Practice Address - Country:US
Practice Address - Phone:417-935-2976
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-02-13
Last Update Date:2009-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2001020275111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor