Provider Demographics
NPI:1003011032
Name:ALBRIGHT FAMILY CHIROPRACTIC AND ACUPUNCTURE PA
Entity Type:Organization
Organization Name:ALBRIGHT FAMILY CHIROPRACTIC AND ACUPUNCTURE PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:TROY
Authorized Official - Middle Name:WINN
Authorized Official - Last Name:ALBRIGHT
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:913-685-0950
Mailing Address - Street 1:7811 W 151ST ST
Mailing Address - Street 2:
Mailing Address - City:OVERLAND PARK
Mailing Address - State:KS
Mailing Address - Zip Code:66223-2217
Mailing Address - Country:US
Mailing Address - Phone:913-685-0950
Mailing Address - Fax:913-685-2941
Practice Address - Street 1:7811 W 151ST ST
Practice Address - Street 2:
Practice Address - City:OVERLAND PARK
Practice Address - State:KS
Practice Address - Zip Code:66223-2217
Practice Address - Country:US
Practice Address - Phone:913-685-0950
Practice Address - Fax:913-685-2941
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-19
Last Update Date:2012-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS01-04276111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
KSS32000Medicare ID - Type Unspecified