Provider Demographics
NPI:1831323237
Name:SPEER CHIROPRACTIC PA
Entity Type:Organization
Organization Name:SPEER CHIROPRACTIC PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:GERRAD
Authorized Official - Middle Name:ALLEN
Authorized Official - Last Name:SPEER
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:913-310-9036
Mailing Address - Street 1:13624 W 95TH ST
Mailing Address - Street 2:
Mailing Address - City:LENEXA
Mailing Address - State:KS
Mailing Address - Zip Code:66215-3304
Mailing Address - Country:US
Mailing Address - Phone:913-310-9036
Mailing Address - Fax:913-310-0821
Practice Address - Street 1:13624 W 95TH ST
Practice Address - Street 2:
Practice Address - City:LENEXA
Practice Address - State:KS
Practice Address - Zip Code:66215-3304
Practice Address - Country:US
Practice Address - Phone:913-310-9036
Practice Address - Fax:913-310-0821
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-05-13
Last Update Date:2009-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS4286498111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty