Provider Demographics
NPI:1003499906
Name:MIDWEST CHIROPRACTIC CENTER - B SPRINGS LLC
Entity Type:Organization
Organization Name:MIDWEST CHIROPRACTIC CENTER - B SPRINGS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:
Authorized Official - Last Name:SCHUCK
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:913-369-0022
Mailing Address - Street 1:13020 CANAAN CENTER DRIVE
Mailing Address - Street 2:SUITE B
Mailing Address - City:BONNER SPRINGS
Mailing Address - State:KS
Mailing Address - Zip Code:66012
Mailing Address - Country:US
Mailing Address - Phone:913-369-0022
Mailing Address - Fax:913-369-2836
Practice Address - Street 1:13020 CANAAN CENTER DRIVE
Practice Address - Street 2:SUITE B
Practice Address - City:BONNER SPRINGS
Practice Address - State:KS
Practice Address - Zip Code:66012
Practice Address - Country:US
Practice Address - Phone:913-369-0022
Practice Address - Fax:913-369-2836
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-04-29
Last Update Date:2021-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty