Provider Demographics
NPI:1659455210
Name:CHIROPRACTIC WELLNESS CENTER PA
Entity Type:Organization
Organization Name:CHIROPRACTIC WELLNESS CENTER PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:MARIA
Authorized Official - Middle Name:S
Authorized Official - Last Name:RAPP
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:785-827-7779
Mailing Address - Street 1:1130 E CLOUD ST
Mailing Address - Street 2:
Mailing Address - City:SALINA
Mailing Address - State:KS
Mailing Address - Zip Code:67401-6449
Mailing Address - Country:US
Mailing Address - Phone:785-827-7779
Mailing Address - Fax:785-827-7773
Practice Address - Street 1:1130 E CLOUD ST
Practice Address - Street 2:
Practice Address - City:SALINA
Practice Address - State:KS
Practice Address - Zip Code:67401-6449
Practice Address - Country:US
Practice Address - Phone:785-827-7779
Practice Address - Fax:785-827-7773
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-24
Last Update Date:2022-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS01-04167111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
KSU45829Medicare UPIN
KS660043Medicare ID - Type UnspecifiedMEDICARE