Provider Demographics
NPI:1811543093
Name:MCNARY CHIROPRACTIC LLC
Entity Type:Organization
Organization Name:MCNARY CHIROPRACTIC LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:DERECK
Authorized Official - Middle Name:J
Authorized Official - Last Name:MCNARY
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:785-477-4389
Mailing Address - Street 1:404 HUMBOLDT ST STE C
Mailing Address - Street 2:
Mailing Address - City:MANHATTAN
Mailing Address - State:KS
Mailing Address - Zip Code:66502-6072
Mailing Address - Country:US
Mailing Address - Phone:785-477-4389
Mailing Address - Fax:
Practice Address - Street 1:404 HUMBOLDT ST STE C
Practice Address - Street 2:
Practice Address - City:MANHATTAN
Practice Address - State:KS
Practice Address - Zip Code:66502-6072
Practice Address - Country:US
Practice Address - Phone:785-477-4389
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-08-14
Last Update Date:2019-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty