Provider Demographics
NPI:1194819722
Name:CHIROCORP INC
Entity Type:Organization
Organization Name:CHIROCORP INC
Other - Org Name:FOX CHIROPRACTIC CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:MS
Authorized Official - First Name:SHAWNA
Authorized Official - Middle Name:J
Authorized Official - Last Name:MCCARTHY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:620-241-2025
Mailing Address - Street 1:200 S MAIN ST
Mailing Address - Street 2:
Mailing Address - City:MCPHERSON
Mailing Address - State:KS
Mailing Address - Zip Code:67460-4844
Mailing Address - Country:US
Mailing Address - Phone:620-241-2025
Mailing Address - Fax:620-245-9641
Practice Address - Street 1:200 S MAIN ST
Practice Address - Street 2:
Practice Address - City:MCPHERSON
Practice Address - State:KS
Practice Address - Zip Code:67460-4844
Practice Address - Country:US
Practice Address - Phone:620-241-2025
Practice Address - Fax:620-245-9641
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-03
Last Update Date:2023-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS01-04444111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS062303Medicare ID - Type UnspecifiedDR. LONNIE FINNEY
KS062224Medicare ID - Type UnspecifiedDR. TROY FOX