Provider Demographics
NPI:1649380403
Name:HOSKINS CHIROPRACTRIC, PA
Entity Type:Organization
Organization Name:HOSKINS CHIROPRACTRIC, PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:CARRIE
Authorized Official - Middle Name:SUE
Authorized Official - Last Name:HOSKINS
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:913-825-9281
Mailing Address - Street 1:11960 W 119TH STREET
Mailing Address - Street 2:
Mailing Address - City:OVERLAND PARK
Mailing Address - State:KS
Mailing Address - Zip Code:66213-2216
Mailing Address - Country:US
Mailing Address - Phone:913-825-9281
Mailing Address - Fax:913-345-9259
Practice Address - Street 1:11960 W 119TH STREET
Practice Address - Street 2:
Practice Address - City:OVERLAND PARK
Practice Address - State:KS
Practice Address - Zip Code:66213-2216
Practice Address - Country:US
Practice Address - Phone:913-825-9281
Practice Address - Fax:913-345-9259
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-30
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS4903111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS33759025OtherBC/BS OF MO
5990000Medicare ID - Type Unspecified
KS33759025OtherBC/BS OF MO