Provider Demographics
NPI:1255112298
Name:STRUBLE-LANDIS CHIROPRACTIC CLINIC
Entity type:Organization
Organization Name:STRUBLE-LANDIS CHIROPRACTIC CLINIC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:STACY
Authorized Official - Middle Name:DENISE
Authorized Official - Last Name:STRUBLE
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:785-554-4026
Mailing Address - Street 1:4020 SE MERCIER ST
Mailing Address - Street 2:
Mailing Address - City:TOPEKA
Mailing Address - State:KS
Mailing Address - Zip Code:66609-1442
Mailing Address - Country:US
Mailing Address - Phone:785-554-4026
Mailing Address - Fax:
Practice Address - Street 1:2900 SW WANAMAKER DR
Practice Address - Street 2:
Practice Address - City:TOPEKA
Practice Address - State:KS
Practice Address - Zip Code:66614-4167
Practice Address - Country:US
Practice Address - Phone:785-554-4026
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-10-06
Last Update Date:2023-10-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM2500XAmbulatory Health Care FacilitiesClinic/CenterMedical Specialty