Provider Demographics
NPI:1679854582
Name:CHAIR DOCTOR
Entity Type:Organization
Organization Name:CHAIR DOCTOR
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:W
Authorized Official - Last Name:DANIEL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:785-776-6464
Mailing Address - Street 1:2115 SPAIN DR
Mailing Address - Street 2:
Mailing Address - City:MANHATTAN
Mailing Address - State:KS
Mailing Address - Zip Code:66502-4850
Mailing Address - Country:US
Mailing Address - Phone:785-776-6464
Mailing Address - Fax:785-776-6464
Practice Address - Street 1:2115 SPAIN DR
Practice Address - Street 2:
Practice Address - City:MANHATTAN
Practice Address - State:KS
Practice Address - Zip Code:66502-4850
Practice Address - Country:US
Practice Address - Phone:785-776-6464
Practice Address - Fax:785-776-6464
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-09-06
Last Update Date:2011-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies