Provider Demographics
NPI:1275817082
Name:DULIN CHIROPRACTIC, PA
Entity Type:Organization
Organization Name:DULIN CHIROPRACTIC, PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JEREMY
Authorized Official - Middle Name:
Authorized Official - Last Name:DULIN
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:913-226-8523
Mailing Address - Street 1:13095 S MUR LEN RD
Mailing Address - Street 2:STE 170
Mailing Address - City:OLATHE
Mailing Address - State:KS
Mailing Address - Zip Code:66062-1425
Mailing Address - Country:US
Mailing Address - Phone:913-393-2611
Mailing Address - Fax:913-393-3729
Practice Address - Street 1:13095 S MUR LEN RD
Practice Address - Street 2:STE 170
Practice Address - City:OLATHE
Practice Address - State:KS
Practice Address - Zip Code:66062-1425
Practice Address - Country:US
Practice Address - Phone:913-393-2611
Practice Address - Fax:913-393-3729
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-09-29
Last Update Date:2011-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS0104917111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty