Provider Demographics
NPI:1518501246
Name:MIDWEST CHIROPRACTIC CENTER- LANSING LLC
Entity Type:Organization
Organization Name:MIDWEST CHIROPRACTIC CENTER- LANSING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:
Authorized Official - Last Name:SCHUCK
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:913-369-0022
Mailing Address - Street 1:848 N MAIN ST
Mailing Address - Street 2:
Mailing Address - City:LANSING
Mailing Address - State:KS
Mailing Address - Zip Code:66043-1305
Mailing Address - Country:US
Mailing Address - Phone:913-727-3600
Mailing Address - Fax:
Practice Address - Street 1:848 N MAIN ST
Practice Address - Street 2:
Practice Address - City:LANSING
Practice Address - State:KS
Practice Address - Zip Code:66043-1305
Practice Address - Country:US
Practice Address - Phone:913-727-3600
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-11-06
Last Update Date:2019-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty