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Ican Clinic Mo PC

Ican Clinic Mo PC is a healthcare organization registered as Surgery Physician in Chesterfield, MO, holding Type 2 (organization) NPI 1992461776 since 2021. The authorized official on file is Michael Harbison, Owner.

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NPI 1992461776
Entity type Organization (Type 2)
Legal business name Ican Clinic Mo PC
Practice address 106 FOUR SEASONS SHOPPING CTR STE 110, Chesterfield, MO, 63017
Phone 6182542273
Enumeration date 2021-11-16
Last updated in NPPES 2021-11-16

Authorized official

Name Michael Harbison
Title Owner
Phone 6182542273

Taxonomy & classification

Taxonomy code Specialty Primary License State
261QP3300X Pain Clinic/Center Secondary
208600000X Surgery Physician Primary
Copy-ready billing details
Provider: Ican Clinic Mo PC
NPI: 1992461776
Taxonomy: 208600000X (Surgery Physician)
Address: 106 FOUR SEASONS SHOPPING CTR STE 110, Chesterfield, MO, 63017

Providers at this address

NPI Name Type Specialty Location
1952232480 Divine Longevity and Wellness Organization Clinic/Center Chesterfield, MO

Verify this record

Cross-check NPI 1992461776 against the authoritative CMS record: view Ican Clinic Mo PC on the official NPPES registry .

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.

Frequently asked questions

Where is Ican Clinic Mo PC located?
The practice location on file with NPPES is in Chesterfield, MO.
How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2021-11-16. Verify at npiregistry.cms.hhs.gov.

Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2021-11-16.