Provider Demographics
NPI:1477909042
Name:LAYTON CHIROPRACTIC, PA
Entity Type:Organization
Organization Name:LAYTON CHIROPRACTIC, PA
Other - Org Name:LAYTON CHIROPRACTIC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:LESLIE
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:LAYTON
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:805-630-1784
Mailing Address - Street 1:1123 MERRIAM LN
Mailing Address - Street 2:
Mailing Address - City:KANSAS CITY
Mailing Address - State:KS
Mailing Address - Zip Code:66103-1651
Mailing Address - Country:US
Mailing Address - Phone:913-788-0424
Mailing Address - Fax:800-743-5303
Practice Address - Street 1:1123 MERRIAM LN
Practice Address - Street 2:
Practice Address - City:KANSAS CITY
Practice Address - State:KS
Practice Address - Zip Code:66103-1651
Practice Address - Country:US
Practice Address - Phone:913-788-0424
Practice Address - Fax:800-743-5303
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-05-12
Last Update Date:2016-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty