Provider Demographics
NPI:1043402563
Name:FIRST CHOICE CHIROPRACTIC, PA
Entity Type:Organization
Organization Name:FIRST CHOICE CHIROPRACTIC, PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VICE PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ALYSSA-RAE
Authorized Official - Middle Name:
Authorized Official - Last Name:ZONARICH
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:913-402-7444
Mailing Address - Street 1:11960 QUIVIRA RD
Mailing Address - Street 2:SUITE 200
Mailing Address - City:OVERLAND PARK
Mailing Address - State:KS
Mailing Address - Zip Code:66213-2222
Mailing Address - Country:US
Mailing Address - Phone:913-402-7444
Mailing Address - Fax:913-402-7450
Practice Address - Street 1:11960 QUIVIRA RD
Practice Address - Street 2:SUITE 200
Practice Address - City:OVERLAND PARK
Practice Address - State:KS
Practice Address - Zip Code:66213-2222
Practice Address - Country:US
Practice Address - Phone:913-402-7444
Practice Address - Fax:913-402-7450
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-08-17
Last Update Date:2007-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
KSS670000Medicare PIN