Provider Demographics
NPI:1558750620
Name:BEHRENDS FAMILY CHIROPRACTIC LLC
Entity Type:Organization
Organization Name:BEHRENDS FAMILY CHIROPRACTIC LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIROPRACTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:LESLIE
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:BEHRENDS
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:785-875-3010
Mailing Address - Street 1:2548 250 RD
Mailing Address - Street 2:
Mailing Address - City:WEBBER
Mailing Address - State:KS
Mailing Address - Zip Code:66970-5012
Mailing Address - Country:US
Mailing Address - Phone:785-875-3010
Mailing Address - Fax:785-875-4746
Practice Address - Street 1:KANSAS HWY 14
Practice Address - Street 2:
Practice Address - City:WEBBER
Practice Address - State:KS
Practice Address - Zip Code:66970-5001
Practice Address - Country:US
Practice Address - Phone:785-875-3010
Practice Address - Fax:785-875-4746
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-01-13
Last Update Date:2015-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS01-05632111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty