Provider Demographics
NPI:1952671018
Name:PHILLIPSBURG CHIROPRACTIC CENTER PA
Entity Type:Organization
Organization Name:PHILLIPSBURG CHIROPRACTIC CENTER PA
Other - Org Name:NORTON CHIROPRACTIC CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:DUSTIN
Authorized Official - Middle Name:S
Authorized Official - Last Name:CHENEY
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:785-543-2700
Mailing Address - Street 1:875 3RD ST
Mailing Address - Street 2:
Mailing Address - City:PHILLIPSBURG
Mailing Address - State:KS
Mailing Address - Zip Code:67661-1612
Mailing Address - Country:US
Mailing Address - Phone:785-543-2700
Mailing Address - Fax:785-540-4041
Practice Address - Street 1:204 E WASHINGTON ST
Practice Address - Street 2:
Practice Address - City:NORTON
Practice Address - State:KS
Practice Address - Zip Code:67654-2150
Practice Address - Country:US
Practice Address - Phone:785-877-2645
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:PHILLIPSBURG CHIROPRACTIC CENTER
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2012-01-06
Last Update Date:2012-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS01-04824111NI0900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111NI0900XChiropractic ProvidersChiropractorInternistGroup - Single Specialty