Provider Demographics
NPI:1093193476
Name:BIEL, STACIA (DC)
Entity type:Individual
Prefix:
First Name:STACIA
Middle Name:
Last Name:BIEL
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:210 E 30TH AVE STE 110
Mailing Address - Street 2:
Mailing Address - City:HUTCHINSON
Mailing Address - State:KS
Mailing Address - Zip Code:67502-2463
Mailing Address - Country:US
Mailing Address - Phone:620-259-6399
Mailing Address - Fax:620-259-6682
Practice Address - Street 1:210 E 30TH AVE STE 110
Practice Address - Street 2:
Practice Address - City:HUTCHINSON
Practice Address - State:KS
Practice Address - Zip Code:67502-2463
Practice Address - Country:US
Practice Address - Phone:620-259-6399
Practice Address - Fax:620-259-6682
Is Sole Proprietor?:Yes
Enumeration Date:2015-05-18
Last Update Date:2022-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS01-05713111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor