Provider Demographics
NPI:1598828196
Name:DIEHL CHIROPRACTIC INC
Entity Type:Organization
Organization Name:DIEHL CHIROPRACTIC INC
Other - Org Name:DIEHL CHIROPRACTIC CLINIC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DOCTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:STANLEY
Authorized Official - Middle Name:ALLEN
Authorized Official - Last Name:DIEHL
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:316-737-2753
Mailing Address - Street 1:129 E SHERMAN ST
Mailing Address - Street 2:
Mailing Address - City:HUTCHINSON
Mailing Address - State:KS
Mailing Address - Zip Code:67501-7160
Mailing Address - Country:US
Mailing Address - Phone:620-665-3000
Mailing Address - Fax:
Practice Address - Street 1:129 E SHERMAN ST
Practice Address - Street 2:
Practice Address - City:HUTCHINSON
Practice Address - State:KS
Practice Address - Zip Code:67501-7160
Practice Address - Country:US
Practice Address - Phone:620-665-3000
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-18
Last Update Date:2012-11-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS0104170111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS660183Medicare UPIN
KS062431Medicare PIN