Provider Demographics
NPI:1376508283
Name:WILBECK CHIROPRACTIC CENTER, P.A.
Entity Type:Organization
Organization Name:WILBECK CHIROPRACTIC CENTER, P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:TONY
Authorized Official - Middle Name:ANDREW
Authorized Official - Last Name:WILBECK
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:620-663-7733
Mailing Address - Street 1:24 S MAIN ST
Mailing Address - Street 2:
Mailing Address - City:SOUTH HUTCHINSON
Mailing Address - State:KS
Mailing Address - Zip Code:67505-1508
Mailing Address - Country:US
Mailing Address - Phone:620-663-7733
Mailing Address - Fax:620-662-5359
Practice Address - Street 1:24 S MAIN ST
Practice Address - Street 2:
Practice Address - City:SOUTH HUTCHINSON
Practice Address - State:KS
Practice Address - Zip Code:67505-1508
Practice Address - Country:US
Practice Address - Phone:620-663-7733
Practice Address - Fax:620-662-5359
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-04-20
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS01-03716111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty