Provider Demographics
NPI:1639280506
Name:STINEMETZ, JAMIE LEE (DC)
Entity Type:Individual
Prefix:DR
First Name:JAMIE
Middle Name:LEE
Last Name:STINEMETZ
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 1:105 S ANDOVER RD
Mailing Address - Street 2:SUITE E
Mailing Address - City:ANDOVER
Mailing Address - State:KS
Mailing Address - Zip Code:67002-7920
Mailing Address - Country:US
Mailing Address - Phone:316-733-9555
Mailing Address - Fax:316-733-9557
Practice Address - Street 1:105 S ANDOVER RD
Practice Address - Street 2:SUITE E
Practice Address - City:ANDOVER
Practice Address - State:KS
Practice Address - Zip Code:67002-7920
Practice Address - Country:US
Practice Address - Phone:316-733-9555
Practice Address - Fax:316-733-9557
Is Sole Proprietor?:No
Enumeration Date:2006-08-31
Last Update Date:2013-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS4855111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS062090Medicare UPIN