Provider Demographics
NPI:1992014955
Name:COMPLETE CARE CHIROPRACTIC LLC
Entity Type:Organization
Organization Name:COMPLETE CARE CHIROPRACTIC LLC
Other - Org Name:ALTERNATIVE HEALTHCARE CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:TODD
Authorized Official - Middle Name:W
Authorized Official - Last Name:SPILKER
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:785-456-2046
Mailing Address - Street 1:1511 W. HIGHWAY 24
Mailing Address - Street 2:
Mailing Address - City:WAMEGO
Mailing Address - State:KS
Mailing Address - Zip Code:66547
Mailing Address - Country:US
Mailing Address - Phone:785-456-2046
Mailing Address - Fax:785-456-4048
Practice Address - Street 1:1511 W. HWY 24
Practice Address - Street 2:
Practice Address - City:WAMEGO
Practice Address - State:KS
Practice Address - Zip Code:66547
Practice Address - Country:US
Practice Address - Phone:785-456-2046
Practice Address - Fax:785-456-4048
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-09-24
Last Update Date:2015-10-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS4263111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty