Provider Demographics
NPI:1225239460
Name:DISCOVER CHIROPRACTIC, LLC
Entity Type:Organization
Organization Name:DISCOVER CHIROPRACTIC, LLC
Other - Org Name:HEALTHSOURCE CHIROPRACTIC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER/CHIROPRACTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:ADAM
Authorized Official - Middle Name:L
Authorized Official - Last Name:PAQUETTE
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:785-587-8989
Mailing Address - Street 1:930 HAYES DR STE C
Mailing Address - Street 2:
Mailing Address - City:MANHATTAN
Mailing Address - State:KS
Mailing Address - Zip Code:66502-5721
Mailing Address - Country:US
Mailing Address - Phone:785-587-8989
Mailing Address - Fax:785-587-8069
Practice Address - Street 1:930 HAYES DR STE C
Practice Address - Street 2:
Practice Address - City:MANHATTAN
Practice Address - State:KS
Practice Address - Zip Code:66502-5721
Practice Address - Country:US
Practice Address - Phone:785-587-8989
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-29
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS01-05062111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS62419OtherINDIVIDUAL MEDICARE PIN
KS660179OtherBLUE SHIELD OF KANSAS
KS660179OtherBLUE SHIELD OF KANSAS