Provider Demographics
NPI:1538122585
Name:WILBECK, TONY A (DC)
Entity Type:Individual
Prefix:DR
First Name:TONY
Middle Name:A
Last Name:WILBECK
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:455 S RIDGE RD
Mailing Address - Street 2:
Mailing Address - City:WICHITA
Mailing Address - State:KS
Mailing Address - Zip Code:67209-2231
Mailing Address - Country:US
Mailing Address - Phone:316-722-2222
Mailing Address - Fax:316-729-4416
Practice Address - Street 1:455 S RIDGE RD
Practice Address - Street 2:
Practice Address - City:WICHITA
Practice Address - State:KS
Practice Address - Zip Code:67209-2231
Practice Address - Country:US
Practice Address - Phone:620-663-7733
Practice Address - Fax:620-662-5359
Is Sole Proprietor?:No
Enumeration Date:2006-04-10
Last Update Date:2014-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS01-03716111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor