Provider Demographics
NPI:1629122577
Name:CUNNINGHAM, ELIZABETH ROSE (DC)
Entity Type:Individual
Prefix:DR
First Name:ELIZABETH
Middle Name:ROSE
Last Name:CUNNINGHAM
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:1100 SW WANAMAKER RD
Mailing Address - Street 2:SUITE 10
Mailing Address - City:TOPEKA
Mailing Address - State:KS
Mailing Address - Zip Code:66604-3805
Mailing Address - Country:US
Mailing Address - Phone:785-273-5300
Mailing Address - Fax:785-273-3575
Practice Address - Street 1:1100 SW WANAMAKER RD
Practice Address - Street 2:SUITE 10
Practice Address - City:TOPEKA
Practice Address - State:KS
Practice Address - Zip Code:66604-3805
Practice Address - Country:US
Practice Address - Phone:785-273-5300
Practice Address - Fax:785-273-3575
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
KS4916111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor