Provider Demographics
NPI:1225178890
Name:BEISIEGEL, DAVID JOHN (DC)
Entity Type:Individual
Prefix:DR
First Name:DAVID
Middle Name:JOHN
Last Name:BEISIEGEL
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10464 METCALF AVE
Mailing Address - Street 2:
Mailing Address - City:OVERLAND PARK
Mailing Address - State:KS
Mailing Address - Zip Code:66212-1806
Mailing Address - Country:US
Mailing Address - Phone:913-649-6677
Mailing Address - Fax:913-649-6679
Practice Address - Street 1:10464 METCALF AVE
Practice Address - Street 2:
Practice Address - City:OVERLAND PARK
Practice Address - State:KS
Practice Address - Zip Code:66212-1806
Practice Address - Country:US
Practice Address - Phone:913-649-6677
Practice Address - Fax:913-649-6679
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-06
Last Update Date:2012-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS01-04645111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
KSU50516Medicare UPIN
KS000A556Medicare ID - Type Unspecified