Provider Demographics
NPI:1427024512
Name:SUNFLOWER ALTERNATIVE MEDICINE, INC.
Entity Type:Organization
Organization Name:SUNFLOWER ALTERNATIVE MEDICINE, INC.
Other - Org Name:STEVENS B. ACKER, M.D.P.A.
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:CONSTANCE
Authorized Official - Middle Name:PATRICIA
Authorized Official - Last Name:ACKER
Authorized Official - Suffix:
Authorized Official - Credentials:PHYSICIAN ASSISTANT
Authorized Official - Phone:316-733-4494
Mailing Address - Street 1:PO BOX 846
Mailing Address - Street 2:324 W. CENTRAL SUITE D
Mailing Address - City:ANDOVER
Mailing Address - State:KS
Mailing Address - Zip Code:67002-0846
Mailing Address - Country:US
Mailing Address - Phone:316-733-4494
Mailing Address - Fax:316-733-5792
Practice Address - Street 1:324 W CENTRAL AVE
Practice Address - Street 2:SUITE D
Practice Address - City:ANDOVER
Practice Address - State:KS
Practice Address - Zip Code:67002-9616
Practice Address - Country:US
Practice Address - Phone:316-733-4494
Practice Address - Fax:316-733-5792
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-02-27
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS016860Medicare ID - Type UnspecifiedBCBS MEDICARE