Provider Demographics
NPI:1760650022
Name:KIRK C MCANSH, DC PC
Entity Type:Organization
Organization Name:KIRK C MCANSH, DC PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:PAULA
Authorized Official - Middle Name:
Authorized Official - Last Name:FRANTZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:989-356-9355
Mailing Address - Street 1:131 RIVER ST
Mailing Address - Street 2:
Mailing Address - City:ALPENA
Mailing Address - State:MI
Mailing Address - Zip Code:49707-5404
Mailing Address - Country:US
Mailing Address - Phone:989-356-9355
Mailing Address - Fax:989-356-0008
Practice Address - Street 1:131 RIVER ST
Practice Address - Street 2:
Practice Address - City:ALPENA
Practice Address - State:MI
Practice Address - Zip Code:49707-5404
Practice Address - Country:US
Practice Address - Phone:989-356-9355
Practice Address - Fax:989-356-0008
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-02-20
Last Update Date:2008-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty