Provider Demographics
NPI:1063639466
Name:INFINITY ASSOCIATES INC
Entity Type:Organization
Organization Name:INFINITY ASSOCIATES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:THOMAS
Authorized Official - Middle Name:LEE
Authorized Official - Last Name:RODMAN
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:913-432-1972
Mailing Address - Street 1:5726 JOHNSON DR
Mailing Address - Street 2:
Mailing Address - City:MISSION
Mailing Address - State:KS
Mailing Address - Zip Code:66202-3325
Mailing Address - Country:US
Mailing Address - Phone:913-432-1972
Mailing Address - Fax:913-432-8241
Practice Address - Street 1:5726 JOHNSON DR
Practice Address - Street 2:
Practice Address - City:MISSION
Practice Address - State:KS
Practice Address - Zip Code:66202-3325
Practice Address - Country:US
Practice Address - Phone:913-432-1972
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-19
Last Update Date:2008-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty