Provider Demographics
NPI:1245495712
Name:STINEMETZ CHIROPRACTIC, INC.
Entity type:Organization
Organization Name:STINEMETZ CHIROPRACTIC, INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JAMIE
Authorized Official - Middle Name:L
Authorized Official - Last Name:STINEMETZ
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:316-733-9555
Mailing Address - Street 1:105 S ANDOVER RD
Mailing Address - Street 2:SUITE E
Mailing Address - City:ANDOVER
Mailing Address - State:KS
Mailing Address - Zip Code:67002-7920
Mailing Address - Country:US
Mailing Address - Phone:316-733-9555
Mailing Address - Fax:316-733-9557
Practice Address - Street 1:105 S ANDOVER RD
Practice Address - Street 2:SUITE E
Practice Address - City:ANDOVER
Practice Address - State:KS
Practice Address - Zip Code:67002-7920
Practice Address - Country:US
Practice Address - Phone:316-733-9555
Practice Address - Fax:316-733-9557
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-07-24
Last Update Date:2013-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS4855111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
KSOTH000Medicare UPIN