Provider Demographics
NPI:1134371206
Name:COX CHIROPRACTIC AND WELLNESS CLINIC LLC
Entity type:Organization
Organization Name:COX CHIROPRACTIC AND WELLNESS CLINIC LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/CHIROPRACTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:ARIC
Authorized Official - Middle Name:D
Authorized Official - Last Name:COX
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:316-201-1077
Mailing Address - Street 1:7829 E ROCKHILL ST
Mailing Address - Street 2:STE 401
Mailing Address - City:WICHITA
Mailing Address - State:KS
Mailing Address - Zip Code:67206-3920
Mailing Address - Country:US
Mailing Address - Phone:316-201-1077
Mailing Address - Fax:316-440-7076
Practice Address - Street 1:7829 E ROCKHILL ST
Practice Address - Street 2:STE 401
Practice Address - City:WICHITA
Practice Address - State:KS
Practice Address - Zip Code:67206-3920
Practice Address - Country:US
Practice Address - Phone:316-201-1077
Practice Address - Fax:316-440-7076
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-10-21
Last Update Date:2008-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS01-05133111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty