Provider Demographics
NPI:1982822144
Name:ADJUST TO HEALTH LLC
Entity Type:Organization
Organization Name:ADJUST TO HEALTH LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DOCTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:AARON
Authorized Official - Middle Name:
Authorized Official - Last Name:RIDEL
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:913-299-6000
Mailing Address - Street 1:8724 BOURGADE AVE.
Mailing Address - Street 2:
Mailing Address - City:LENEXA
Mailing Address - State:KS
Mailing Address - Zip Code:66219-1440
Mailing Address - Country:US
Mailing Address - Phone:913-299-6000
Mailing Address - Fax:913-599-3673
Practice Address - Street 1:8724 BOURGADE AVE.
Practice Address - Street 2:
Practice Address - City:LENEXA
Practice Address - State:KS
Practice Address - Zip Code:66219-1440
Practice Address - Country:US
Practice Address - Phone:913-299-6000
Practice Address - Fax:913-599-3673
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-23
Last Update Date:2017-10-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS0104011111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
KSS371877Medicare ID - Type Unspecified