Provider Demographics
NPI:1083797567
Name:LINN COUNTY CHIROPRACTIC
Entity Type:Organization
Organization Name:LINN COUNTY CHIROPRACTIC
Other - Org Name:LYNN COUNTY CHIROPRACTIC
Other - Org Type:Other Name
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:LONNIE
Authorized Official - Middle Name:
Authorized Official - Last Name:BAKER
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:913-757-3600
Mailing Address - Street 1:PO BOX 657
Mailing Address - Street 2:
Mailing Address - City:LACYGNE
Mailing Address - State:KS
Mailing Address - Zip Code:66040-0657
Mailing Address - Country:US
Mailing Address - Phone:913-757-3600
Mailing Address - Fax:
Practice Address - Street 1:121 N. BROADWAY
Practice Address - Street 2:
Practice Address - City:LACYGNE
Practice Address - State:KS
Practice Address - Zip Code:66040
Practice Address - Country:US
Practice Address - Phone:913-757-3600
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-20
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS4438111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty