Provider Demographics
NPI:1083809628
Name:METTLING CHIROPRACTIC LLC
Entity Type:Organization
Organization Name:METTLING CHIROPRACTIC LLC
Other - Org Name:JOSHUA METTLING SINGLE MBR
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CHIROPRACTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:JOSHUA
Authorized Official - Middle Name:SHANE
Authorized Official - Last Name:METTLING
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:620-221-6325
Mailing Address - Street 1:PO BOX 623
Mailing Address - Street 2:
Mailing Address - City:WINFIELD
Mailing Address - State:KS
Mailing Address - Zip Code:67156-0623
Mailing Address - Country:US
Mailing Address - Phone:620-221-6325
Mailing Address - Fax:620-221-6327
Practice Address - Street 1:1916 E 9TH AVE
Practice Address - Street 2:
Practice Address - City:WINFIELD
Practice Address - State:KS
Practice Address - Zip Code:67156-3210
Practice Address - Country:US
Practice Address - Phone:620-221-6325
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-09-06
Last Update Date:2016-11-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS5100111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty